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General NPI Number Information
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NPI Number | 1891694816
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Entity Type | Organization
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Legal Business Name | WPT OF TEXAS, LLC
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 2098 N VALLEY MILLS DR STE 2098
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City | WACO
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State | TX
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Zip | 76710-2586
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Country | US
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Telephone | 530-221-9952
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Fax | 530-221-9910
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Provider Business Mailing Address
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Address Line | PO BOX 493396
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City | REDDING
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State | CA
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Zip | 96049-3396
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BRIAN BAAS
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Credential | PT
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Telephone | 530-221-9952
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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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