Healthcare Provider Details

I. General information

NPI: 1477761401
Provider Name (Legal Business Name): T&V MILES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 BOCA CHICA BLVD
BROWNSVILLE TX
78520-8141
US

IV. Provider business mailing address

1714 BOCA CHICA BLVD
BROWNSVILLE TX
78520-8141
US

V. Phone/Fax

Practice location:
  • Phone: 956-544-2401
  • Fax: 956-504-2234
Mailing address:
  • Phone: 956-544-2401
  • Fax: 956-504-2234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number StateTX

VIII. Authorized Official

Name: MRS. VICKI M RODRIGUEZ
Title or Position: DIRECTOR
Credential: L.P.T.
Phone: 956-544-2401