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NPI 1790300887

NPI 1790300887 : MCSWAIN PHYSICAL THERAPY LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1790300887
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCSWAIN PHYSICAL THERAPY LLC 
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Dates
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    Enumeration Date     |    06/15/2020
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    Last Update Date     |    12/01/2020
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Provider Practice Location Address
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    Address Line         |    5100 WESTHEIMER RD STE 200 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77056-5597
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    Country              |    US
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    Telephone            |    281-782-0067
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    Fax                  |    832-299-1767
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Provider Business Mailing Address
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    Address Line         |    4139 BELLAIRE BLVD APT 349 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77025-1078
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    Country              |    US
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    Telephone            |    281-782-0067
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    Fax                  |    832-299-1767
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Authorized Official
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    Title or Position    |    PHYSICAL THERAPIST
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    Name                 |    MRS. STEPHANIE N MCSWAIN 
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    Credential           |    DPT
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    Telephone            |    281-782-0067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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