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NPI Code Detail

MEDICARE: PIUS THADEO MWESIGA

MEDICARE: PIUS THADEO MWESIGA
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 Assistant2071999TX

General Provider Information

NPI Number : 1710467311
Entity Type Code : Individual
Provider Name (Legal Business Name) : PIUS THADEO MWESIGA
Provider Business Mailing Address
First Line : 18927 MORANT BAY DR
Second Line :
City : RICHMOND
State : TX
Zip : 77407-1200
Country : US
Telephone Number : 832-758-8681
Fax Number :
Provider Business Practice Location Address
First Line : 3640 HAMPTON DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3016
Country : US
Telephone Number : 281-778-5144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/14/2018

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Directions to “ PIUS THADEO MWESIGA ” Practice Location

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