Healthcare Provider Details
I. General information
NPI: 1780987206
Provider Name (Legal Business Name): MVP PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2010
Last Update Date: 12/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5420 WEST LOOP SOUTH SUITE 2500
BELLAIRE TX
77401-2118
US
IV. Provider business mailing address
3820 POINTE PARKWAY
BEAUMONT TX
77706-5025
US
V. Phone/Fax
- Phone: 281-974-6544
- Fax: 713-383-7500
- Phone: 281-974-6544
- Fax: 409-785-4200
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
R. M.
FRANCIS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 281-974-6544