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NPI Code Detail

MEDICARE: CHERIE TEPE HARTZELL DPT

MEDICARE:   CHERIE TEPE HARTZELL  DPT
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 Therapist1198370TX

General Provider Information

NPI Number : 1922587005
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERIE TEPE HARTZELL DPT
Provider Business Mailing Address
First Line : 2101 GREENHOUSE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77084-6108
Country : US
Telephone Number : 281-599-5540
Fax Number :
Provider Business Practice Location Address
First Line : 2101 GREENHOUSE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77084-6108
Country : US
Telephone Number : 254-721-2684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2018
Last Update Date : 08/09/2018

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Directions to “ CHERIE TEPE HARTZELL DPT” Practice Location

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