TS CARLSON PEDIATRIC REHAB LP NPI 1417225822

NPI Information

NPI: 1417225822
Provider Name: TS CARLSON PEDIATRIC REHAB LP

Doing Business As: HEALTHSTAR PEDIATRIC REHAB

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
6800 GATEWAY BLVD E
BLDG 4A
EL PASO, TX
ZIP 79915
Phone: (915) 779-7827
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TS CARLSON PEDIATRIC REHAB LP is a rehabilitation clinic center in El Paso, TX. TS CARLSON PEDIATRIC REHAB LP NPI is 1417225822. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthstar Pediatric Rehab.

The provider's business location address is:

6800 GATEWAY BLVD E
BLDG 4A
EL PASO, TX
ZIP 79915-040
Phone: (915) 779-7827
Fax: (915) 779-7829

The provider's authorized official is Staci Lyn Carlson .
The authorized official title is Owner/administrator and has the following contact phone number (915) 779-7827.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 8/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			No
2	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	295233501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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