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NPI Code Detail

MEDICARE: MANUEL SANCHEZ JR. PTA

MEDICARE: MANUEL SANCHEZ JR. PTA
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
1225200000XPhysical Therapy Assistant2079137TX

General Provider Information

NPI Number : 1558768184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL SANCHEZ JR. PTA
Provider Business Mailing Address
First Line : 3362 FOREST LN
Second Line :
City : DALLAS
State : TX
Zip : 75234-7796
Country : US
Telephone Number : 214-727-6569
Fax Number :
Provider Business Practice Location Address
First Line : 3362 FOREST LN
Second Line :
City : DALLAS
State : TX
Zip : 75234-7796
Country : US
Telephone Number : 972-829-0818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2014
Last Update Date : 11/25/2014

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