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NPI Code Detail

MEDICARE: DR. EDWARD REYES ALCANTARA DPT

MEDICARE:  DR. EDWARD REYES ALCANTARA  DPT
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
1225100000XPhysical Therapist31076NY
2225100000XPhysical Therapist1250143TX

General Provider Information

NPI Number : 1942623426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD REYES ALCANTARA DPT
Provider Business Mailing Address
First Line : 4918 MILAM ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-6216
Country : US
Telephone Number : 832-855-2504
Fax Number :
Provider Business Practice Location Address
First Line : 4918 MILAM ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-6216
Country : US
Telephone Number : 832-855-2504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2014
Last Update Date : 03/30/2024

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Directions to “ DR. EDWARD REYES ALCANTARA DPT” Practice Location

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