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General NPI Number Information
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NPI Number | 1801488663
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Entity Type | Organization
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Legal Business Name | BAYOU SPORTS HEALTH PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 7036 FM 1960 RD E
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City | HUMBLE
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State | TX
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Zip | 77346-2704
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Country | US
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Telephone | 832-341-5896
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Fax | 281-605-6742
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Provider Business Mailing Address
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Address Line | 4503 RANGER RUN
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City | SUGAR LAND
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State | TX
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Zip | 77479-2073
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Country | US
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Telephone | 832-341-5896
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT BRIAN OAKLEY SR.
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Credential | LAT
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Telephone | 832-341-5896
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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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