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General NPI Number Information
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NPI Number | 1619933108
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Entity Type | Organization
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Legal Business Name | STRIDE LLC
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 805 N CAGE BLVD STE IJ
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City | PHARR
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State | TX
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Zip | 78577-3102
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Country | US
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Telephone | 956-787-6600
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Fax | 956-787-1753
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Provider Business Mailing Address
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Address Line | 805 N CAGE BLVD STE IJ
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City | PHARR
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State | TX
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Zip | 78577-3102
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Country | US
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Telephone | 956-787-6600
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Fax | 956-787-1753
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Authorized Official
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Title or Position | CEO/ADM
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Name | MR. LUIS GARZA
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Credential |
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Telephone | 956-787-6600
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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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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State | TX
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