MEDICARE: HULEN KARIS PHYSICAL THERAPY 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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1568816437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HULEN KARIS PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	6049 S HULEN ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4815
Country	:	US
Telephone Number	:	682-990-0962
Fax Number	:

Provider Business Practice Location Address
First Line	:	6049 S HULEN ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4815
Country	:	US
Telephone Number	:	682-990-0962
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	DR. WALID SAADE
Credential	:	M.D.
Telephone Number	:	682-990-0962

Provider Enumeration Date	:	04/18/2016
Last Update Date	:	04/18/2016

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