Provider Demographics
NPI:1174726624
Name:WESLACO PHYSICIANS REHAB LTD
Entity type:Organization
Organization Name:WESLACO PHYSICIANS REHAB LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARREIRO
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:956-969-2222
Mailing Address - Street 1:906 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-9840
Mailing Address - Country:US
Mailing Address - Phone:956-969-2222
Mailing Address - Fax:956-969-2221
Practice Address - Street 1:906 SOUTH JAMES
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-9840
Practice Address - Country:US
Practice Address - Phone:956-969-2222
Practice Address - Fax:956-969-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX453091283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital