Provider Demographics
NPI:1851554489
Name:FLEX FIT REHABILITATION, FITNESS AND PERFORMANCE INC.
Entity Type:Organization
Organization Name:FLEX FIT REHABILITATION, FITNESS AND PERFORMANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-658-0039
Mailing Address - Street 1:6601 EVERHART RD STE C1
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-2254
Mailing Address - Country:US
Mailing Address - Phone:361-658-0039
Mailing Address - Fax:361-356-6261
Practice Address - Street 1:6601 EVERHART RD STE C1
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-2254
Practice Address - Country:US
Practice Address - Phone:361-658-0039
Practice Address - Fax:361-356-6261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX662490000261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy