Provider Demographics
NPI:1669706883
Name:THERAPY & WELLNESS CENTER
Entity type:Organization
Organization Name:THERAPY & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-237-2312
Mailing Address - Street 1:PO BOX 4012
Mailing Address - Street 2:
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076-6287
Mailing Address - Country:US
Mailing Address - Phone:956-237-2312
Mailing Address - Fax:956-765-6089
Practice Address - Street 1:1513 JACKSON ST
Practice Address - Street 2:
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076-3572
Practice Address - Country:US
Practice Address - Phone:956-237-2312
Practice Address - Fax:956-765-6089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty