MEDICARE: VPC ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1700193224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VPC ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	3004 N CLOSNER BLVD
Second Line	:	UNIT A
City	:	EDINBURG
State	:	TX
Zip	:	78541-7292
Country	:	US
Telephone Number	:	956-383-0101
Fax Number	:	956-383-0018

Provider Business Practice Location Address
First Line	:	3004 N CLOSNER BLVD
Second Line	:	UNIT A
City	:	EDINBURG
State	:	TX
Zip	:	78541-7292
Country	:	US
Telephone Number	:	956-383-0101
Fax Number	:	956-383-0018

Authorized Official
Title or Position	:	OWNER
Name	:	MS. VELMA P COOK
Credential	:
Telephone Number	:	956-383-0101

Provider Enumeration Date	:	09/03/2010
Last Update Date	:	03/08/2012

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