Provider Demographics
NPI:1578845079
Name:FISIKAL REHAB CENTER, INC.
Entity Type:Organization
Organization Name:FISIKAL REHAB CENTER, INC.
Other - Org Name:FISIKAL REHAB CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:956-462-5844
Mailing Address - Street 1:709 E CALTON RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3664
Mailing Address - Country:US
Mailing Address - Phone:956-462-5844
Mailing Address - Fax:956-462-5851
Practice Address - Street 1:709 E CALTON RD
Practice Address - Street 2:SUITE 105
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3664
Practice Address - Country:US
Practice Address - Phone:956-462-5844
Practice Address - Fax:956-462-5851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15153261QH0700X
TX1072148261QP2000X
261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation