Performance Therapeutics - Eagle Pass PLLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PERFORMANCE THERAPEUTICS - EAGLE PASS PLLC

Practice address

2483 2ND St Ste B
Eagle Pass, TX 78852-4391

Phone

(830) 776-5191

Fax

(830) 776-5205

NPI assigned

Jun 22, 2017

Last updated

Jun 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward R Canales

Title

Coo

Phone

(956) 687-4559

Specialties & licenses 1

Addresses

Tax ID family

Performance Therapeutics - Eagle Pass PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Performance Therapeutics - Eagle Pass, PLLC

  • Physical Therapist
  • Eagle Pass, TX
  • NPI 1114266525
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Palomin, P.T.

  • Physical Therapist
  • Edinburg, TX
  • NPI 1184662926
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1467972265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012924",
            "telephone_number": "956-687-4555",
            "fax_number": "956-687-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 2ND ST STE B",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524391",
            "telephone_number": "830-776-5191",
            "fax_number": "830-776-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE THERAPEUTICS - EAGLE PASS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "CANALES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "956-687-4559"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Specialty Rural Health Clinic, LTD. (Eagle Pass Pediatric Health Clinic)
• Pediatric Specialty Rural Health Clinic,LTD (d/b/a Eagle Pass Pediatric Health Clinic)
• Luis Enrique Perales
• Rosa I Perez, F.N.P.
• Victor Manuel Perez
• Performance Therapeutics - Eagle Pass, PLLC
• Cynthia Picazo
• Thomas Anthony Pitts III
• Jacob Pizana
• Primary Care of Eagle Pass PLLC

• Rehabilitation Clinic/Center in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.