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General NPI Number Information
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NPI Number | 1952419228
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS REHABILITATION HOSPITAL LLP
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 425 E ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3361
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Country | US
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Telephone | 956-554-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 425 E ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3361
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Country | US
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Telephone | 956-554-6000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JESSIE EASON GONZALES
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Credential |
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Telephone | 956-554-6011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 008211
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License Number State | TX
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