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NPI Code Detail

MEDICARE: PAMELA AGOSTINO

MEDICARE: PAMELA AGOSTINO
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 Therapist1252431TX

General Provider Information

NPI Number : 1972723781
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA AGOSTINO
Provider Business Mailing Address
First Line : 7801 N RICHLAND BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6415
Country : US
Telephone Number : 469-609-9044
Fax Number :
Provider Business Practice Location Address
First Line : 7801 N RICHLAND BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6415
Country : US
Telephone Number : 469-609-9044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 12/08/2020

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Directions to “ PAMELA AGOSTINO ” Practice Location

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