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NPI Code Detail

MEDICARE: CARSON QUIN EUBANK DPT

MEDICARE:   CARSON QUIN EUBANK  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
1225100000XPhysical Therapist3133380TX

General Provider Information

NPI Number : 1699517532
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARSON QUIN EUBANK DPT
Provider Business Mailing Address
First Line : 2960 ELDORADO PKWY STE 75
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-7500
Country : US
Telephone Number : 972-562-0713
Fax Number :
Provider Business Practice Location Address
First Line : 2960 ELDORADO PKWY STE 75
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-7500
Country : US
Telephone Number : 972-562-0713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 06/11/2024

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Directions to “ CARSON QUIN EUBANK DPT” Practice Location

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