Vidal Quintanilla Jr

NPI #1346414547 in Palmview, Texas

Provider Information

NPI Number: 1346414547
Entity Type: Organization
Organization Name: Vidal Quintanilla Jr
Primary Specialty: Home Health
Enumeration Date: Apr 17, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 1404 ENCANTADO CIR
City: Palmview
State: Texas
ZIP Code: 78572-1956
Phone: (956) 424-5101

Authorized Official

Name: VIDAL QUINTANILLA JR.
Title: OWNER
Phone: (956) 424-5101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Home Health	251E00000X	Primary

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