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General NPI Number Information
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NPI Number | 1932549888
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Entity Type | Organization
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Legal Business Name | TEXAS PHYSICAL THERAPY SPECIALISTS
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 801 E WILLIAM CANNON DR STE 225
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City | AUSTIN
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State | TX
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Zip | 78745-6646
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Country | US
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Telephone | 512-270-2060
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Fax | 512-270-2061
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Provider Business Mailing Address
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Address Line | 17325 BELL NORTH DR SUITE 2-B
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City | SCHERTZ
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State | TX
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Zip | 78154-3368
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Country | US
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Telephone | 888-590-4002
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Fax | 210-590-4585
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | KARLA SMILEY
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Credential |
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Telephone | 888-590-4002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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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 | 653710004
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License Number State | TX
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