NPI 1003045741

Pederson-Martinez PLLC

Organisation Comprehensive Outpatient Rehabilitation Facility (CORF) Palmhurst, TX

Practice location

Address: 123 W. Mile 3 Rd STE A-103, Palmhurst, TX 78573
Phone: (956) 585-9889
Fax: (956) 585-9896

Authorised official

Name: Shane Marlon Pederson
Title: President/Physical Therapist
Phone: (956) 585-9889

Registered specialties

Comprehensive Outpatient Rehabilitation Facility (CORF) Primary

Ambulatory Health Care Facilities Taxonomy 261QR0401X

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Registry record

NPI: 1003045741
Entity type: Organization
NPI issued: 2 Jul 2009
Record last updated: 9 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.