Provider Demographics
NPI:1881473858
Name:RISING STARR REHAB LLC
Entity type:Organization
Organization Name:RISING STARR REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:GALVAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-257-0670
Mailing Address - Street 1:PO BOX 662
Mailing Address - Street 2:
Mailing Address - City:GARCIASVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78547-0662
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:495 N DR RAMIREZ AVE
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-8220
Practice Address - Country:US
Practice Address - Phone:956-257-0670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty