JDM DIRECT INTERVENTION PLLC NPI 1659658284

NPI Information

NPI: 1659658284
Provider Name: JDM DIRECT INTERVENTION PLLC

Doing Business As: FUNTASTIC THERAPY

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

Specialization: Rehabilitation

Address:
1501 E BUSTAMANTE ST
STE. G
LAREDO, TX
ZIP 78041
Phone: (956) 718-2020
Get Directions

JDM DIRECT INTERVENTION PLLC is a rehabilitation clinic center in Laredo, TX. JDM DIRECT INTERVENTION PLLC NPI is 1659658284. The provider is registered as an organization entity type.
The provider Is Doing Business As Funtastic Therapy.

The provider's business location address is:

1501 E BUSTAMANTE ST
STE. G
LAREDO, TX
ZIP 78041-905
Phone: (956) 718-2020
Fax: (956) 718-2919

The provider's authorized official is Joanna Mendoza .
The authorized official title is Owner and has the following contact phone number (956) 718-2020.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 11/10/2011.

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	261QR0400X	Clinic/Center	Rehabilitation			Yes

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: 11/14/2023

NPI Synchronization or Removal

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