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NPI Code Detail

MEDICARE: THERAPY FIRST LLC

MEDICARE: THERAPY FIRST LLC
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
1261QP2000XPhysical Therapy Clinic/Center1016244TX
2174400000XSpecialist556250000TX
3174400000XSpecialist661590000TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18T7609OTHERTXBLUE CROSS BLUE SHIELD
21336341627OTHERTXNPI
30001QAOTHERTXBLUE CROSS BLUE SHIELD GROUP NUMBER

General Provider Information

NPI Number : 1336341627
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPY FIRST LLC
Provider Business Mailing Address
First Line : PO BOX 8150
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78468-8150
Country : US
Telephone Number : 361-993-4778
Fax Number : 361-993-4779
Provider Business Practice Location Address
First Line : 2101 AIRLINE RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-2641
Country : US
Telephone Number : 361-993-4778
Fax Number : 361-993-4779
Authorized Official
Title or Position : PRESIDENT
Name : MRS. CATHERINE LILES PIERCE
Credential : P.T.
Telephone Number : 361-993-4778
Provider Enumeration Date : 05/31/2007
Last Update Date : 12/09/2010

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Directions to “THERAPY FIRST LLC ” Practice Location

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