Provider Demographics
NPI:1154727469
Name:DOCTORS REHAB OF THE RGV, PLLC
Entity type:Organization
Organization Name:DOCTORS REHAB OF THE RGV, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-687-5550
Mailing Address - Street 1:4854 S JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6519
Mailing Address - Country:US
Mailing Address - Phone:956-687-5550
Mailing Address - Fax:956-687-5554
Practice Address - Street 1:4854 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6519
Practice Address - Country:US
Practice Address - Phone:956-687-5550
Practice Address - Fax:956-687-5554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6416111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty