MEDICARE: MR. NOEL SAYONG SULA 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	225100000X	Physical Therapist	1068542	TX

General Provider Information

NPI Number	:	1184795288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NOEL SAYONG SULA P.T.

Provider Business Mailing Address
First Line	:	5011 E NEWPARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-5484
Country	:	US
Telephone Number	:	832-275-0045
Fax Number	:	713-856-6429

Provider Business Practice Location Address
First Line	:	5011 E NEWPARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-5484
Country	:	US
Telephone Number	:	832-275-0045
Fax Number	:	713-856-6429

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

Provider Enumeration Date	:	11/11/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. NOEL SAYONG SULA P.T.” Practice Location

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