Healthcare Provider Details

I. General information

NPI: 1699490466
Provider Name (Legal Business Name): FYZ PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 10/05/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11930 BARKER CYPRESS RD STE 300
CYPRESS TX
77433-7352
US

IV. Provider business mailing address

1150 HEMPSTEAD VILLA LN
HOUSTON TX
77008-6048
US

V. Phone/Fax

Practice location:
  • Phone: 832-779-8324
  • Fax: 832-810-0233
Mailing address:
  • Phone: 214-669-0111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL GRIMM
Title or Position: OPERATING PRINCIPAL
Credential:
Phone: 214-669-0111