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NPI Code Detail

MEDICARE: AMIGOS THERAPY SERVICES, PLLC

MEDICARE: AMIGOS THERAPY SERVICES, PLLC
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
1261QP2000XPhysical Therapy Clinic/Center1081669TX

General Provider Information

NPI Number : 1497878383
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMIGOS THERAPY SERVICES, PLLC
Provider Business Mailing Address
First Line : 4212 LAVACA DR
Second Line :
City : PLANO
State : TX
Zip : 75074-3501
Country : US
Telephone Number : 469-366-4877
Fax Number : 972-509-8937
Provider Business Practice Location Address
First Line : 3305 DILIDO RD
Second Line : SUITE 134
City : DALLAS
State : TX
Zip : 75228-8337
Country : US
Telephone Number : 214-727-6225
Fax Number : 972-509-8937
Authorized Official
Title or Position : ADMINISTRATOR
Name : RUBEN NEIRA
Credential : PT
Telephone Number : 214-727-6225
Provider Enumeration Date : 04/07/2007
Last Update Date : 08/22/2020

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Directions to “AMIGOS THERAPY SERVICES, PLLC ” Practice Location

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