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NPI Code Detail

MEDICARE: ANSU THOMAS PT, DPT

MEDICARE: ANSU THOMAS PT, DPT
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
1225100000XPhysical Therapist1333464TX

General Provider Information

NPI Number : 1033619721
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANSU THOMAS PT, DPT
Provider Business Mailing Address
First Line : 6913 DANRIDGE RD
Second Line :
City : ROWLETT
State : TX
Zip : 75089-2019
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2201 N CENTRAL EXPY STE 110
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2718
Country : US
Telephone Number : 214-265-1819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2018
Last Update Date : 03/11/2026

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