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NPI Code Detail

MEDICARE: MR. PAUL BRETT SICARD P.T.

MEDICARE: MR. PAUL BRETT SICARD P.T.
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 Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12950OTHERNHLICENSE #
21127322OTHERTXPT LICENSE #

General Provider Information

NPI Number : 1588773246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL BRETT SICARD P.T.
Provider Business Mailing Address
First Line : 7025 COVERDALE DR
Second Line :
City : PLANO
State : TX
Zip : 75024-7554
Country : US
Telephone Number : 603-933-2510
Fax Number :
Provider Business Practice Location Address
First Line : 6105 WINDCOM CT
Second Line : SUITE 300
City : PLANO
State : TX
Zip : 75093-7889
Country : US
Telephone Number : 972-781-1111
Fax Number : 972-781-1101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 03/05/2015

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