MEDICARE: CHINGLING PAO PT

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
1	225100000X	Physical Therapist	1045102	TX

General Provider Information

NPI Number	:	1063532745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINGLING PAO PT

Provider Business Mailing Address
First Line	:	7357 REGENCY SQUARE CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3142
Country	:	US
Telephone Number	:	713-977-0868
Fax Number	:

Provider Business Practice Location Address
First Line	:	7357 REGENCY SQUARE CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3142
Country	:	US
Telephone Number	:	713-977-0868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

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Directions to “ CHINGLING PAO PT” Practice Location

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