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NPI Code Detail

MEDICARE: VICTORIA ANN MCDONALD PTA

MEDICARE: VICTORIA ANN MCDONALD PTA
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
1225200000XPhysical Therapy Assistant2155240TX

General Provider Information

NPI Number : 1952029746
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ANN MCDONALD PTA
Provider Business Mailing Address
First Line : 734 NORTH LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77009-1043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 734 NORTH LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77009-1043
Country : US
Telephone Number : 713-868-2766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2022
Last Update Date : 08/17/2022

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