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NPI Code Detail

MEDICARE: METRO MOBILE HEALTH CARE

MEDICARE: METRO MOBILE HEALTH CARE
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 Therapist
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1174109888
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO MOBILE HEALTH CARE
Provider Business Mailing Address
First Line : 7401 RIVERSIDE PKWY UNIT 219
Second Line :
City : TULSA
State : OK
Zip : 74136-5057
Country : US
Telephone Number : 918-810-0263
Fax Number : 539-202-5007
Provider Business Practice Location Address
First Line : 7401 RIVERSIDE PKWY UNIT 219
Second Line :
City : TULSA
State : OK
Zip : 74136-5057
Country : US
Telephone Number : 918-810-0263
Fax Number : 539-202-5007
Authorized Official
Title or Position : DIRECTOR OF CREDENTIALING
Name : JUAN MENDEZ III
Credential :
Telephone Number : 972-469-0000
Provider Enumeration Date : 03/23/2021
Last Update Date : 08/25/2024

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Directions to “METRO MOBILE HEALTH CARE ” Practice Location

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