MEDICARE: JAHNVI HARESHKUMAR THAKKAR DPT

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	1283780	TX

General Provider Information

NPI Number	:	1336628734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAHNVI HARESHKUMAR THAKKAR DPT

Provider Business Mailing Address
First Line	:	2600 GESSNER RD STE 115
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-3839
Country	:	US
Telephone Number	:	713-996-7996
Fax Number	:	713-996-7591

Provider Business Practice Location Address
First Line	:	550 GREENS PKWY STE 115
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77067-4538
Country	:	US
Telephone Number	:	832-962-8805
Fax Number	:	713-996-7591

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

Provider Enumeration Date	:	08/07/2018
Last Update Date	:	03/21/2024

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