BRADWELL DIVERSIFIED NPI 1154767911

NPI Information

NPI: 1154767911
Provider Name: BRADWELL DIVERSIFIED

Doing Business As: KIDS CLUB PEDIATRIC REHAB

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

Specialization: Rehabilitation

Address:
27043 BAKER POTTS RD
HARLINGEN, TX
ZIP 78552
Phone: (956) 792-4542
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BRADWELL DIVERSIFIED is a rehabilitation clinic center in Harlingen, TX. BRADWELL DIVERSIFIED NPI is 1154767911. The provider is registered as an organization entity type.
The provider Is Doing Business As Kids Club Pediatric Rehab.

The provider's business location address is:

27043 BAKER POTTS RD
HARLINGEN, TX
ZIP 78552-761
Phone: (956) 792-4542

The provider's authorized official is Graciela A Bradwell .
The authorized official title is Administrator and has the following contact phone number (956) 792-4542.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 7/16/2013.

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: 5/5/2024

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