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General NPI Number Information
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NPI Number | 1154674075
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Entity Type | Organization
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Legal Business Name | ARY REHAB LLC
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 2001 W MILE 3 RD STE 2400
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City | MISSION
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State | TX
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Zip | 78573
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Country | US
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Telephone | 956-583-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 2614 E GRIFFIN PKWY
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City | MISSION
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State | TX
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Zip | 78572-3321
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Country | US
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Telephone | 956-656-7500
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Fax | 956-686-7896
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Authorized Official
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Title or Position | CONSULTANT/BILLER
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Name | TRISHA E REYES
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Credential |
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Telephone | 956-583-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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