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NPI Code Detail

MEDICARE: MS. ELIZABETH FALON TOMS PTA

MEDICARE: MS. ELIZABETH FALON TOMS 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 Assistant2097515TX

General Provider Information

NPI Number : 1619458536
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH FALON TOMS PTA
Provider Business Mailing Address
First Line : 5607 MARKHAM DR
Second Line :
City : TEMPLE
State : TX
Zip : 76502-0023
Country : US
Telephone Number : 254-727-2384
Fax Number :
Provider Business Practice Location Address
First Line : 763 MARLANDWOOD RD
Second Line :
City : TEMPLE
State : TX
Zip : 76502-3573
Country : US
Telephone Number : 254-771-5950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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