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NPI Code Detail

MEDICARE: DR. MICHAEL MARIO MASTERS PT

MEDICARE: DR. MICHAEL MARIO MASTERS PT
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
12251X0800XOrthopedic Physical Therapist1124592TX

General Provider Information

NPI Number : 1922084946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL MARIO MASTERS PT
Provider Business Mailing Address
First Line : 10651 E ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78419-5130
Country : US
Telephone Number : 361-961-2688
Fax Number :
Provider Business Practice Location Address
First Line : 10651 E ST
Second Line : PHYSICAL THERAPY DEPARTMENT
City : CORPUS CHRISTI
State : TX
Zip : 78419-5130
Country : US
Telephone Number : 361-561-2688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 01/25/2012

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Directions to “ DR. MICHAEL MARIO MASTERS PT” Practice Location

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