MEDICARE: BRIAN NGWA

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

General Provider Information

NPI Number	:	1295698116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN NGWA

Provider Business Mailing Address
First Line	:	1201 N WATSON RD STE 228
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-6248
Country	:	US
Telephone Number	:	682-321-7004
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 N WATSON RD STE 228
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-6248
Country	:	US
Telephone Number	:	682-321-7004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ BRIAN NGWA ” Practice Location

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