Organization · NPI-2

Elite Therapeutic Specialists, Ltd.

Clinic/Center · Laredo, TX

NPI number1154600716

StatusActive

Last updated in NPPESAug 23, 2011

Details

NPI: 1154600716
Entity type: Organization (NPI-2)
Legal business name: Elite Therapeutic Specialists, Ltd.
Organization subpart: No
Enumeration date: Aug 12, 2011
Last updated: Aug 23, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	–	–	Yes
261QH0700X	Clinic/Center, Hearing and Speech	–	–
261QP2000X	Clinic/Center, Physical Therapy	–	–
261QR0400X	Clinic/Center, Rehabilitation	–	–
261QM1300X	Clinic/Center, Multi-Specialty	–	–

Practice location

1020 Corpus Christi St
Laredo, TX 78040-5208

Phone 956-723-5700 · Fax 956-723-5706

Mailing address

1020 Corpus Christi St
Laredo, TX 78040-5208

Phone 956-723-5700 · Fax 956-723-5706

Authorized official

Elisa Susanna Druker
Owner/Administrator
9567235700

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