Provider Demographics
NPI:1952662488
Name:CARDINAL THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:CARDINAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS CCC-SLP
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-213-7523
Mailing Address - Street 1:1211 WOOD HOLLOW DR
Mailing Address - Street 2:14101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1211 WOOD HOLLOW DR
Practice Address - Street 2:14101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1650
Practice Address - Country:US
Practice Address - Phone:832-213-7523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12087131251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health