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NPI Code Detail

MEDICARE: PLEX GALLERIA

MEDICARE: PLEX GALLERIA
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
12251S0007XSports Physical Therapist1160378TX

General Provider Information

NPI Number : 1730413576
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLEX GALLERIA
Provider Business Mailing Address
First Line : 2100 WEST LOOP S # 205
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3515
Country : US
Telephone Number : 281-449-7539
Fax Number : 281-449-7575
Provider Business Practice Location Address
First Line : 2100 WEST LOOP S # 205
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3515
Country : US
Telephone Number : 281-449-7539
Fax Number : 281-449-7575
Authorized Official
Title or Position : DIRECTOR
Name : DANNY ANDREW ARNOLD
Credential :
Telephone Number : 281-449-7539
Provider Enumeration Date : 09/28/2009
Last Update Date : 09/28/2009

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Directions to “PLEX GALLERIA ” Practice Location

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