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A PLUS PEDIATRIC REHAB INC. NPI 1497997019


NPI Information

NPI: 1497997019
Provider Name: A PLUS PEDIATRIC REHAB, INC.

Doing Business As: A PLUS PEDIATRICS REHAB

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

Specialization: Rehabilitation

Address:
9514 CONSOLE DRIVE
SUITE 102
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 448-9111
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A PLUS PEDIATRIC REHAB, INC. is a rehabilitation clinic center in San Antonio, TX. A PLUS PEDIATRIC REHAB, INC. NPI is 1497997019. The provider is registered as an organization entity type.
The provider Is Doing Business As A Plus Pediatrics Rehab.

The provider's business location address is:

9514 CONSOLE DRIVE
SUITE 102
SAN ANTONIO, TX
ZIP 78229-042
Phone: (210) 448-9111
Fax: (210) 308-9595

The provider's authorized official is Mohamed Ghannam .
The authorized official title is Ceo and has the following contact phone number (210) 448-9111.

The enumeration date for this NPI number is 3/27/2009 and was last updated on 8/2/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)663890000TEXASNo
2261QR0400XClinic/CenterRehabilitationYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13132839-01MEDICAIDTEXAS

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

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