Provider Demographics
NPI:1073967675
Name:OPS REHABILITATION
Entity type:Organization
Organization Name:OPS REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP-ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRATOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-500-0087
Mailing Address - Street 1:2007 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3286
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:123 W MILE 3 RD
Practice Address - Street 2:STE. A-103
Practice Address - City:PALMHURST
Practice Address - State:TX
Practice Address - Zip Code:78573-1633
Practice Address - Country:US
Practice Address - Phone:956-585-9889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38367261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)