Healthcare Provider Details

I. General information

NPI: 1699931618
Provider Name (Legal Business Name): BORDER HAND REHABILITATION , PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 N 2ND ST SUITE D
MCALLEN TX
78501-2303
US

IV. Provider business mailing address

1421 N 2ND ST SUITE D
MCALLEN TX
78501-2303
US

V. Phone/Fax

Practice location:
  • Phone: 956-630-0455
  • Fax: 956-630-5240
Mailing address:
  • Phone: 956-630-0455
  • Fax: 956-630-5240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number StateTX

VIII. Authorized Official

Name: GEORGE H KYDD
Title or Position: OWNER
Credential: OTR
Phone: 956-630-0455