MEDICARE: RUPAL K PARMAR PHYSICAL THERAPIST

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	1215700	TX

General Provider Information

NPI Number	:	1629494513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUPAL K PARMAR PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	10903 GIFFNOCK DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1554
Country	:	US
Telephone Number	:	609-598-2392
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 N HIGHWAY 146
Second Line	:	SUITE A
City	:	BAYTOWN
State	:	TX
Zip	:	77520-2252
Country	:	US
Telephone Number	:	281-837-7571
Fax Number	:	281-664-3789

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

Provider Enumeration Date	:	03/15/2014
Last Update Date	:	01/09/2020

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