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NPI Code Detail

MEDICARE: MARTHA PARRA PTA

MEDICARE: MARTHA PARRA 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 Assistant2014031TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12014031OTHERTXLICENSE#

General Provider Information

NPI Number : 1669582326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA PARRA PTA
Provider Business Mailing Address
First Line : 6140 INDIGO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77074-7424
Country : US
Telephone Number : 713-981-9065
Fax Number :
Provider Business Practice Location Address
First Line : 2158 PORTSMOUTH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77098-4057
Country : US
Telephone Number : 713-529-4990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 09/26/2024

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Directions to “ MARTHA PARRA PTA” Practice Location

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