Healthcare Provider Details
I. General information
NPI: 1992901532
Provider Name (Legal Business Name): FRAZIER PHYSICAL THERAPY LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2007
Last Update Date: 08/25/2021
Certification Date: 08/25/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1162 HWY 327 E
SILSBEE TX
77656
US
IV. Provider business mailing address
1162 HWY 327 E
SILSBEE TX
77656
US
V. Phone/Fax
- Phone: 409-385-2500
- Fax: 409-385-2502
- Phone: 409-385-2500
- Fax: 409-385-2502
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCISCO
ESPARZA
Title or Position: LIMITED PARTNER
Credential: P.T.
Phone: 409-385-2500