Healthcare Provider Details

I. General information

NPI: 1013945435
Provider Name (Legal Business Name): CYPRESS DALLAS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 01/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12271 COIT RD
DALLAS TX
75251-2300
US

IV. Provider business mailing address

111 WESTWOOD PLACE SUITE 400
BRENTWOOD TN
37027-5707
US

V. Phone/Fax

Practice location:
  • Phone: 214-438-4904
  • Fax:
Mailing address:
  • Phone: 615-221-2250
  • 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: BRYAN RICHARDSON
Title or Position: EVP/CAO
Credential:
Phone: 615-221-2250