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General NPI Number Information
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NPI Number | 1659497360
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Entity Type | Organization
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Legal Business Name | KOALA HEALTH & WELLNESS TESTING & PERFORMANCE CENTERS, LP
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2626 W SAM HOUSTON PKWY N
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City | HOUSTON
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State | TX
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Zip | 77043-1606
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Country | US
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Telephone | 713-463-9111
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Fax | 713-329-9126
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Provider Business Mailing Address
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Address Line | PO BOX 890389
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City | HOUSTON
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State | TX
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Zip | 77289-0389
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Country | US
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Telephone | 281-286-8520
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Fax | 281-286-2947
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Authorized Official
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Title or Position | OWNER
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Name | MARY DOYLE
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Credential |
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Telephone | 713-463-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | F006339
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License Number State | TX
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Taxonomy #2
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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 | TX
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