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General NPI Number Information
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NPI Number | 1215234927
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Entity Type | Organization
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Legal Business Name | THERAMAX THERAPY SERVICES, PC
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 7211 REGENCY SQUARE BLVD SUITE 110
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City | HOUSTON
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State | TX
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Zip | 77036-3138
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Country | US
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Telephone | 713-344-1214
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Fax | 888-336-7050
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Provider Business Mailing Address
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Address Line | 7211 REGENCY SQUARE BLVD SUITE 110
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City | HOUSTON
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State | TX
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Zip | 77036-3138
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Country | US
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Telephone | 713-344-1214
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Fax | 888-336-7050
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MISS RISTY DELUMPA DURBIN
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Credential | PT
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Telephone | 713-244-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1155398
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License Number State | TX
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