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NPI Code Detail

MEDICARE: LEE TWADDELL DPT

MEDICARE: LEE TWADDELL 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
12251P0200XPediatric Physical Therapist1407086TX

General Provider Information

NPI Number : 1659257475
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE TWADDELL DPT
Provider Business Mailing Address
First Line : PO BOX 27094
Second Line :
City : HOUSTON
State : TX
Zip : 77227-7094
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2310 RICHTON ST APT B
Second Line :
City : HOUSTON
State : TX
Zip : 77098-3282
Country : US
Telephone Number : 713-999-5358
Fax Number : 346-888-4142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2025
Last Update Date : 03/23/2026

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