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NPI Code Detail

MEDICARE: CYPRESS DALLAS LP

MEDICARE: CYPRESS DALLAS LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1013945435
Entity Type Code : Organization
Provider Name (Legal Business Name) : CYPRESS DALLAS LP
Provider Business Mailing Address
First Line : 111 WESTWOOD PLACE
Second Line : SUITE 400
City : BRENTWOOD
State : TN
Zip : 37027-5707
Country : US
Telephone Number : 615-221-2250
Fax Number :
Provider Business Practice Location Address
First Line : 12271 COIT RD
Second Line :
City : DALLAS
State : TX
Zip : 75251-2300
Country : US
Telephone Number : 214-438-4904
Fax Number :
Authorized Official
Title or Position : EVP/CAO
Name : BRYAN RICHARDSON
Credential :
Telephone Number : 615-221-2250
Provider Enumeration Date : 06/28/2006
Last Update Date : 01/02/2014

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