Basic Information
| Provider Information | |||||||||
| NPI: | 1477761401 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | T&V MILES INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1714 BOCA CHICA BLVD | ||||||||
| Address2: | |||||||||
| City: | BROWNSVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785208141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9565442401 | ||||||||
| FaxNumber: | 9565042234 | ||||||||
| Practice Location | |||||||||
| Address1: | 1714 BOCA CHICA BLVD | ||||||||
| Address2: | |||||||||
| City: | BROWNSVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785208141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9565442401 | ||||||||
| FaxNumber: | 9565042234 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2007 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | RODRIGUEZ | ||||||||
| AuthorizedOfficialFirstName: | VICKI | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9565442401 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | L.P.T. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283X00000X | TX | Y | Hospitals | Rehabilitation Hospital |
No ID Information.