Provider Demographics
NPI: | 1790076776 |
---|---|
Name: | THERAPY WORKS |
Entity Type: | Organization |
Organization Name: | THERAPY WORKS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | SPEECH LANGUAGE THERAPIST ASSISTANT |
Authorized Official - Prefix: | MISS |
Authorized Official - First Name: | JENNIFER |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ORTIZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | SLP ASSISTANT |
Authorized Official - Phone: | 787-344-3323 |
Mailing Address - Street 1: | 7100 N 7TH ST |
Mailing Address - Street 2: | APT #D |
Mailing Address - City: | MCALLEN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78504-2041 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 787-344-3323 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1011 W FRONTAGE RD # SPAJ |
Practice Address - Street 2: | |
Practice Address - City: | ALAMO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78516-2300 |
Practice Address - Country: | US |
Practice Address - Phone: | 956-787-6777 |
Practice Address - Fax: | 956-787-6778 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-04-26 |
Last Update Date: | 2011-04-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 35805 | 261QM1300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |