MEDICARE: JUSTICE OGUERI

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	1407889	TX

General Provider Information

NPI Number	:	1922950831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTICE OGUERI

Provider Business Mailing Address
First Line	:	1505 WILLIAMSBURG DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-6043
Country	:	US
Telephone Number	:	214-694-6593
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 WILLIAMSBURG DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-6043
Country	:	US
Telephone Number	:	214-694-6593
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/16/2026

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Directions to “ JUSTICE OGUERI ” Practice Location

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