Healthcare Provider Details
I. General information
NPI: 1598962763
Provider Name (Legal Business Name): ATLAS INJURY AND REHAB, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
615 S ASTER ST
PHARR TX
78577-5358
US
IV. Provider business mailing address
615 S ASTER ST
PHARR TX
78577-5358
US
V. Phone/Fax
- Phone: 956-782-8400
- Fax: 956-782-8430
- Phone: 956-782-8400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 9416 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NX0100X |
| Taxonomy | Occupational Health Chiropractor |
| License Number | 9148 |
| License Number State | TX |
VIII. Authorized Official
Name: PROF.
MARTIN
CASTILLO
Title or Position: OWNER
Credential: D.C.
Phone: 956-782-8400