MEDICARE: ARTHUR G MAZUCA P.T.

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	2251S0007X	Sports Physical Therapist	1151779	TX
2	2251X0800X	Orthopedic Physical Therapist	1151779	TX
3	225100000X	Physical Therapist	1151779	TX

General Provider Information

NPI Number	:	1134273626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR G MAZUCA P.T.

Provider Business Mailing Address
First Line	:	15734 SWEETWATER CREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-1612
Country	:	US
Telephone Number	:	713-823-9498
Fax Number	:

Provider Business Practice Location Address
First Line	:	5425 HIGHWAY 6 STE D900
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4384
Country	:	US
Telephone Number	:	281-208-9200
Fax Number	:	281-208-9210

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/17/2025

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