MEDICARE: SUMMER PRESTON

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	1318232	TX

General Provider Information

NPI Number	:	1942860044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMMER PRESTON

Provider Business Mailing Address
First Line	:	4971 SWEETWATER BLVD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3133
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4971 SWEETWATER BLVD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3133
Country	:	US
Telephone Number	:	281-277-1330
Fax Number	:

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

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	04/21/2026

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Directions to “ SUMMER PRESTON ” Practice Location

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