Promexsa Industries, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROMEXSA INDUSTRIES, LLC

Doing business as

Pro Health Injury and Rehab Center of Texas, LLC

Practice address

415 E Bolt St Ste 433
Fort Worth, TX 76110-6371

Phone

(682) 888-6447

Fax

(817) 386-9060

NPI assigned

Oct 9, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gerardo Navarrete Jr.

Title

Owner

Phone

(682) 888-6447

Specialties & licenses 1

Addresses

Other names 1

• Pro Health Injury and Rehab Center of Texas, LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1154102952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E BOLT ST STE 433",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761106371",
            "telephone_number": "682-888-6447",
            "fax_number": "817-386-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E BOLT ST STE 433",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761106371",
            "telephone_number": "682-888-6447",
            "fax_number": "817-386-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEXSA INDUSTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-888-6447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Health Injury and Rehab Center of Texas, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.