MEDICARE: TOTAL HEALTH INDUSTRIES P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16935	OTHER	TX	RR MEDICARE

General Provider Information

NPI Number	:	1073743092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HEALTH INDUSTRIES P.A.

Provider Business Mailing Address
First Line	:	2310 N EXPRESSWAY # 83
Second Line	:	SUITE M
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-0903
Country	:	US
Telephone Number	:	956-546-5000
Fax Number	:	956-546-6231

Provider Business Practice Location Address
First Line	:	2310 N EXPRESSWAY # 83
Second Line	:	SUITE M
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-0903
Country	:	US
Telephone Number	:	956-546-5000
Fax Number	:	956-546-6231

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES T BOYD
Credential	:	D.C.
Telephone Number	:	956-546-5000

Provider Enumeration Date	:	07/24/2009
Last Update Date	:	07/13/2010

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Directions to “TOTAL HEALTH INDUSTRIES P.A. ” Practice Location

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