MEDICARE: DUBIE KING, LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1528780459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUBIE KING, LLC

Provider Business Mailing Address
First Line	:	24927 N POINT PL
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-3929
Country	:	US
Telephone Number	:	281-787-8544
Fax Number	:

Provider Business Practice Location Address
First Line	:	24927 N POINT PL
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-3929
Country	:	US
Telephone Number	:	281-787-8544
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. CHRISTINA SUZANNE KING
Credential	:	PT
Telephone Number	:	281-787-8544

Provider Enumeration Date	:	09/16/2022
Last Update Date	:	01/21/2025

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