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NPI Code Detail

MEDICARE: TEXAS LUNA CARE PHYSICAL THERAPY LLC

MEDICARE: TEXAS LUNA CARE PHYSICAL THERAPY LLC
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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1790309656
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS LUNA CARE PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : PO BOX 290609
Second Line :
City : NASHVILLE
State : TN
Zip : 37229-0609
Country : US
Telephone Number : 866-525-3175
Fax Number :
Provider Business Practice Location Address
First Line : 180 STATE ST STE 225
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-7632
Country : US
Telephone Number : 866-806-3599
Fax Number : 833-817-7128
Authorized Official
Title or Position : PAYER OPERATIONS SUPERVISOR
Name : JASMINE GONZALEZ
Credential :
Telephone Number : 916-232-3047
Provider Enumeration Date : 06/05/2020
Last Update Date : 02/06/2026

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Directions to “TEXAS LUNA CARE PHYSICAL THERAPY LLC ” 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.

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