Healthcare Provider Details

I. General information

NPI: 1649012279
Provider Name (Legal Business Name): CHIOKE CUARTERO-CRAWFORD PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 HIGHWAY 6
SUGAR LAND TX
77478-4366
US

IV. Provider business mailing address

4139 BELLAIRE BLVD APT 369
HOUSTON TX
77025-1079
US

V. Phone/Fax

Practice location:
  • Phone: 281-916-6575
  • Fax:
Mailing address:
  • Phone: 281-797-2126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1392969
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: