1699943043 NPI number — VPC ASSOCIATES LLC

Table of content: (NPI 1699943043)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699943043 NPI number — VPC ASSOCIATES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VPC ASSOCIATES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TOTAL CARE REHABILITATION CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699943043
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3004 N CLOSNER BLVD
Provider Second Line Business Mailing Address:
UNIT A
Provider Business Mailing Address City Name:
EDINBURG
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78541-7237
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-393-0101
Provider Business Mailing Address Fax Number:
956-383-0018

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3004 N CLOSNER BLVD
Provider Second Line Business Practice Location Address:
UNIT A
Provider Business Practice Location Address City Name:
EDINBURG
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78541-7237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-383-0101
Provider Business Practice Location Address Fax Number:
956-383-0018
Provider Enumeration Date:
02/19/2008

Additional Information

Authorized Official

Authorized Official Last Name:
COOK
Authorized Official First Name:
VELMA
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
956-383-0101

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100681 . This is a "STATE LICENSE" identifier . This identifiers is of the category "OTHER".




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