MEDICARE: DONNA URQUHART 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
1	225100000X	Physical Therapist	1045920	TX

General Provider Information

NPI Number	:	1679611362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA URQUHART PT

Provider Business Mailing Address
First Line	:	1112 BERING DR APT 40
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-2318
Country	:	US
Telephone Number	:	281-650-7835
Fax Number	:

Provider Business Practice Location Address
First Line	:	6311 WASHINGTON AVE # B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2108
Country	:	US
Telephone Number	:	281-650-7835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/08/2007

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Directions to “ DONNA URQUHART PT” Practice Location

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