Healthcare Provider Details

I. General information

NPI: 1588537724
Provider Name (Legal Business Name): ZACHARY ELI DUBOIS PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 MATLOCK RD
ARLINGTON TX
76015-3604
US

IV. Provider business mailing address

3533 MATLOCK RD
ARLINGTON TX
76015-3604
US

V. Phone/Fax

Practice location:
  • Phone: 318-277-7313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number11859
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number11859
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: