Healthcare Provider Details

I. General information

NPI: 1548437924
Provider Name (Legal Business Name): 1140 WESTMONT PHYSICAL THERAPY AND REHABILITATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 WESTMONT DR SUITE 530
HOUSTON TX
77015-4363
US

IV. Provider business mailing address

1140 WESTMONT DR SUITE 530
HOUSTON TX
77015-4363
US

V. Phone/Fax

Practice location:
  • Phone: 713-451-1010
  • Fax: 713-451-1433
Mailing address:
  • Phone: 713-451-1010
  • Fax: 713-451-1433

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: DEBBIE MUNOZ
Title or Position: C.A
Credential:
Phone: 713-451-1010