Provider Demographics
NPI:1679981518
Name:MILESTONES THERAPY CENTER
Entity Type:Organization
Organization Name:MILESTONES THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:SILVA-CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:361-453-7108
Mailing Address - Street 1:408 N TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-5039
Mailing Address - Country:US
Mailing Address - Phone:361-453-7108
Mailing Address - Fax:361-668-3033
Practice Address - Street 1:408 N TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-5039
Practice Address - Country:US
Practice Address - Phone:361-453-7108
Practice Address - Fax:361-668-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105292261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation