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PERFORMANCE THERAPEUTICS - EAGLE PASS PLLC NPI 1467972265


NPI Information

NPI: 1467972265
Provider Name: PERFORMANCE THERAPEUTICS - EAGLE PASS PLLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
2483 2ND ST STE B
EAGLE PASS, TX
ZIP 78852
Phone: (830) 776-5191
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PERFORMANCE THERAPEUTICS - EAGLE PASS PLLC is a rehabilitation clinic center in Eagle Pass, TX. PERFORMANCE THERAPEUTICS - EAGLE PASS PLLC NPI is 1467972265. The provider is registered as an organization entity type.

The provider's business location address is:

2483 2ND ST STE B
EAGLE PASS, TX
ZIP 78852-391
Phone: (830) 776-5191
Fax: (830) 776-5205

The provider's authorized official is Edward R Canales .
The authorized official title is Coo and has the following contact phone number (956) 687-4559.

The enumeration date for this NPI number is 6/22/2017 and was last updated on 6/22/2017.


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
1261QR0400XClinic/CenterRehabilitationTEXASYes

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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