Provider Demographics
NPI:1861682544
Name:REHAB AND PAIN CLINICS OF SOUTH TEXAS
Entity Type:Organization
Organization Name:REHAB AND PAIN CLINICS OF SOUTH TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:APOLINARIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-554-6025
Mailing Address - Street 1:425 E ALTON GLOOR BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3361
Mailing Address - Country:US
Mailing Address - Phone:956-554-6025
Mailing Address - Fax:956-350-9413
Practice Address - Street 1:425 E ALTON GLOOR BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3361
Practice Address - Country:US
Practice Address - Phone:956-554-6025
Practice Address - Fax:956-350-9413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-28
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1473208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty