MEDICARE: BARBARA A WURR-SMITH 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	1045144	TX

General Provider Information

NPI Number	:	1891964979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA A WURR-SMITH PT

Provider Business Mailing Address
First Line	:	11 GREENWAY PLZ
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77046-1100
Country	:	US
Telephone Number	:	713-554-5302
Fax Number	:	713-554-5324

Provider Business Practice Location Address
First Line	:	8603 BROADWAY ST
Second Line	:	SUITE 101
City	:	PEARLAND
State	:	TX
Zip	:	77584-8171
Country	:	US
Telephone Number	:	281-997-3717
Fax Number	:	281-997-3817

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

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	04/25/2008

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