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NPI Code Detail

MEDICARE: MS. MARTHA L DEAL PT

MEDICARE: MS. MARTHA L DEAL 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
1225100000XPhysical Therapist1106177TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18T0906OTHERTXBLUE CROSS

General Provider Information

NPI Number : 1245266899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARTHA L DEAL PT
Provider Business Mailing Address
First Line : 403 STATE HIGHWAY 110 N
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-3109
Country : US
Telephone Number : 903-839-1000
Fax Number :
Provider Business Practice Location Address
First Line : 403 STATE HIGHWAY 110 N
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-3109
Country : US
Telephone Number : 903-839-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MARTHA L DEAL PT” Practice Location

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