Healthcare Provider Details

I. General information

NPI: 1497089882
Provider Name (Legal Business Name): PLEX 99
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2009
Last Update Date: 10/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7830 WEST GRAND PARKWAY SOUTH
RICHMOND TX
77469
US

IV. Provider business mailing address

7830 WEST GRAND PARKWAY SOUTH
RICHMOND TX
77469
US

V. Phone/Fax

Practice location:
  • Phone: 281-499-7539
  • Fax: 281-499-7575
Mailing address:
  • Phone: 281-499-7539
  • Fax: 281-499-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number1160378
License Number StateTX

VIII. Authorized Official

Name: DANNY ANDREW ARNOLD
Title or Position: DIRECTOR
Credential:
Phone: 281-499-7539