Healthcare Provider Details

I. General information

NPI: 1518781004
Provider Name (Legal Business Name): INFINITY & BEYOND KIDZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PAT BOOKER RD STE 104
UNIVERSAL CITY TX
78148-4147
US

IV. Provider business mailing address

210 GOODFELLA AVE
CIBOLO TX
78108-0197
US

V. Phone/Fax

Practice location:
  • Phone: 210-483-3237
  • Fax: 726-238-3322
Mailing address:
  • Phone: 210-483-3237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: YANIRA ARCE MARTINEZ
Title or Position: PEDIATRIC OCCUPATIONAL THERAPIST
Credential:
Phone: 210-483-3237