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NPI Code Detail

MEDICARE: MR. SERGIO IGNACIO CARTAGENA PT

MEDICARE:  MR. SERGIO IGNACIO CARTAGENA  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 Therapist1080836TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10004AWOTHERTXBCBS REHAB UNLIMITED, INC
281210TOTHERTXBCBS TX

General Provider Information

NPI Number : 1477647949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SERGIO IGNACIO CARTAGENA PT
Provider Business Mailing Address
First Line : 3818 BRANDT STREET
Second Line :
City : HOUSTON
State : TX
Zip : 77006
Country : US
Telephone Number : 713-522-7140
Fax Number : 713-522-9221
Provider Business Practice Location Address
First Line : 3818 BRANDT STREET
Second Line :
City : HOUSTON
State : TX
Zip : 77006
Country : US
Telephone Number : 713-522-7140
Fax Number : 713-522-9221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/09/2007

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