Provider Demographics
NPI:1578994208
Name:STARKIDZ THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:STARKIDZ THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADIMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-230-0312
Mailing Address - Street 1:1601 W TYLER AVE
Mailing Address - Street 2:SUITE C-7
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-5931
Mailing Address - Country:US
Mailing Address - Phone:956-230-0312
Mailing Address - Fax:
Practice Address - Street 1:1601 W TYLER AVE
Practice Address - Street 2:SUITE C-7
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5931
Practice Address - Country:US
Practice Address - Phone:956-230-0312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health