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NPI Code Detail

MEDICARE: TEXAS POST ACUTE SPECIALISTS, PA

MEDICARE: TEXAS POST ACUTE SPECIALISTS, PA
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
1207P00000XEmergency Medicine Physician
2207Q00000XFamily Medicine Physician
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1609314392
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS POST ACUTE SPECIALISTS, PA
Provider Business Mailing Address
First Line : 119 S WESTERN AVE UNIT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4644
Country : US
Telephone Number : 800-411-6768
Fax Number :
Provider Business Practice Location Address
First Line : 4200 SHEPHERD LN
Second Line :
City : BALCH SPRINGS
State : TX
Zip : 75180-3423
Country : US
Telephone Number : 800-411-6768
Fax Number : 855-751-8051
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : LAUREL DOTAS
Credential :
Telephone Number : 352-215-1603
Provider Enumeration Date : 02/02/2017
Last Update Date : 12/16/2024

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Directions to “TEXAS POST ACUTE SPECIALISTS, PA ” Practice Location

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