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NPI Code Detail

MEDICARE: TEXAS SPECIALTY PHYSICAL THERAPY

MEDICARE: TEXAS SPECIALTY PHYSICAL THERAPY
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 Therapist

General Provider Information

NPI Number : 1730771023
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS SPECIALTY PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 8412 DAVIS BLVD STE 100
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-8656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8412 DAVIS BLVD STE 190
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-8679
Country : US
Telephone Number : 817-479-7168
Fax Number : 817-479-3498
Authorized Official
Title or Position : OWNER
Name : GEORGE SUMMERS
Credential : MPT
Telephone Number : 817-479-7168
Provider Enumeration Date : 02/08/2021
Last Update Date : 02/24/2022

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Directions to “TEXAS SPECIALTY PHYSICAL THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.