Healthcare Provider Details

I. General information

NPI: 1508821406
Provider Name (Legal Business Name): MERCY REHAB SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N EXPRESSWAY STE K
BROWNSVILLE TX
78521-1563
US

IV. Provider business mailing address

1900 N EXPRESSWAY STE K
BROWNSVILLE TX
78521-1563
US

V. Phone/Fax

Practice location:
  • Phone: 956-541-2102
  • Fax: 956-541-2502
Mailing address:
  • Phone: 956-541-2102
  • Fax: 956-541-2502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number552780000
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number655900000
License Number StateTX

VIII. Authorized Official

Name: MR. MARCO ANTONIO TURRUBIATES
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 956-428-6800