| Dynamic Care Rehab | |
|
6006 N Mesa St Ste 901 El Paso TX 79912-4655 | |
| (915) 408-0699 | |
| (915) 503-2297 |
| Full Name | Dynamic Care Rehab |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 6006 N Mesa St Ste 901, El Paso, Texas |
| Authorized Official Name and Position | Mark Jerome Viray Gonzales (OWNER/MANAGER) |
| Authorized Official Contact | 9154080699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Care Rehab 6006 N Mesa St Ste 901 El Paso TX 79912-4655 Ph: (915) 408-0699 | Dynamic Care Rehab 6006 N Mesa St Ste 901 El Paso TX 79912-4655 Ph: (915) 408-0699 |
| NPI Number | 1386943322 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386943322 | NPI | - | NPPES |
| 669570000 | Other | TX | THE EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 111483 (Texas) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 1123313 (Texas) | Primary |
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