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NPI Code Detail

MEDICARE: JOSHUA JAMES TENBENSEL DPT

MEDICARE: JOSHUA JAMES TENBENSEL 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 Therapist3024NE
2225100000XPhysical Therapist1330204TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11330204OTHERTXTEXAS PT LICENSURE

General Provider Information

NPI Number : 1043592587
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA JAMES TENBENSEL DPT
Provider Business Mailing Address
First Line : 501 N LEE AVE
Second Line :
City : ODESSA
State : TX
Zip : 79761-4423
Country : US
Telephone Number : 402-890-0253
Fax Number : 432-335-5365
Provider Business Practice Location Address
First Line : 3003 N A ST
Second Line :
City : MIDLAND
State : TX
Zip : 79705-5304
Country : US
Telephone Number : 432-684-7755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2011
Last Update Date : 01/04/2022

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