MEDICARE: MR. ROLANDO MONTESINES TOBIAS 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	1205559	TX

General Provider Information

NPI Number	:	1811237035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROLANDO MONTESINES TOBIAS PT

Provider Business Mailing Address
First Line	:	1431 HEATHWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3013
Country	:	US
Telephone Number	:	704-964-9849
Fax Number	:

Provider Business Practice Location Address
First Line	:	1431 HEATHWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3013
Country	:	US
Telephone Number	:	704-964-9849
Fax Number	:

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

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	02/25/2013

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