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NPI Code Detail

MEDICARE: JAC ALLEN LINDISH PT, DPT

MEDICARE: JAC ALLEN LINDISH 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 Therapist1406962TX

General Provider Information

NPI Number : 1043109937
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAC ALLEN LINDISH PT, DPT
Provider Business Mailing Address
First Line : 23910 KATY FWY
Second Line :
City : KATY
State : TX
Zip : 77494-1395
Country : US
Telephone Number : 713-568-8986
Fax Number :
Provider Business Practice Location Address
First Line : 23910 KATY FWY
Second Line :
City : KATY
State : TX
Zip : 77494-1395
Country : US
Telephone Number : 713-568-8986
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2025
Last Update Date : 01/20/2026

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