MEDICARE: MR. THOMAS DUNN PT

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	1017408	TX

General Provider Information

NPI Number	:	1972514842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS DUNN PT

Provider Business Mailing Address
First Line	:	PO BOX 128
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77402-0128
Country	:	US
Telephone Number	:	281-833-3330
Fax Number	:	281-833-3323

Provider Business Practice Location Address
First Line	:	3000 WESLAYAN ST
Second Line	:	SUITE 150
City	:	HOUSTON
State	:	TX
Zip	:	77027-5700
Country	:	US
Telephone Number	:	713-877-9355
Fax Number	:	281-833-3323

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	06/24/2011

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