Provider Demographics
NPI:1639183973
Name:THERAPY CENTER INC.
Entity Type:Organization
Organization Name:THERAPY CENTER INC.
Other - Org Name:THERAPY CENTRAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:S
Authorized Official - Last Name:CEDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP-CCC
Authorized Official - Phone:956-664-1819
Mailing Address - Street 1:5309 N MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2252
Mailing Address - Country:US
Mailing Address - Phone:956-664-1819
Mailing Address - Fax:956-994-8299
Practice Address - Street 1:5309 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2252
Practice Address - Country:US
Practice Address - Phone:956-664-1819
Practice Address - Fax:956-994-8299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172858601Medicaid
TX0002MVOtherBCBS GROUP
TX0002MVOtherBCBS GROUP