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NPI Code Detail

MEDICARE: MRS. LAURA J. BARRAZA P.T.

MEDICARE: MRS. LAURA J. BARRAZA P.T.
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 Therapist1038024TX

General Provider Information

NPI Number : 1932343522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA J. BARRAZA P.T.
Provider Business Mailing Address
First Line : 601 HARRISON DR
Second Line :
City : COPPELL
State : TX
Zip : 75019-2718
Country : US
Telephone Number : 972-393-3903
Fax Number :
Provider Business Practice Location Address
First Line : 8000 FRANKFORD RD
Second Line :
City : DALLAS
State : TX
Zip : 75252-6834
Country : US
Telephone Number : 972-232-8096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2009
Last Update Date : 04/27/2009

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