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General NPI Number Information
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NPI Number | 1619593803
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Entity Type | Organization
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Legal Business Name | HOOPS PHYSIO, PLLC
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 151 KIRKHAM CIR STE B
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City | KYLE
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State | TX
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Zip | 78640-9703
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Country | US
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Telephone | 512-983-5622
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Fax | 512-887-1106
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Provider Business Mailing Address
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Address Line | 151 KIRKHAM CIR STE B
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City | KYLE
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State | TX
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Zip | 78640-9703
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Country | US
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Telephone | 512-983-5622
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Fax | 512-887-1106
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | THADDEUS EVAN BROWN II
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Credential | PT, DPT, COMT
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Telephone | 512-983-5622
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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 |
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License Number State |
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