Healthcare Provider Details

I. General information

NPI: 1750602454
Provider Name (Legal Business Name): SAMANTHA TOEWS (P.T)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6333 FOREST PARK RD STE A270
DALLAS TX
75235-5488
US

IV. Provider business mailing address

5771 ENID ST
HOUSTON TX
77009-1208
US

V. Phone/Fax

Practice location:
  • Phone: 214-350-9800
  • Fax: 214-350-9802
Mailing address:
  • Phone: 713-880-4400
  • Fax: 713-869-8637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1196150
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: