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NPI Code Detail

MEDICARE: THERESIA POPE

MEDICARE: THERESIA POPE
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 Assistant2044758TX

General Provider Information

NPI Number : 1699586529
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESIA POPE
Provider Business Mailing Address
First Line : 3759 BOULDER AVE
Second Line :
City : ODESSA
State : TX
Zip : 79762-7031
Country : US
Telephone Number : 432-230-5571
Fax Number :
Provider Business Practice Location Address
First Line : 500 E 4TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79761-5110
Country : US
Telephone Number : 432-279-1401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2025
Last Update Date : 01/20/2025

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Directions to “ THERESIA POPE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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