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NPI Code Detail

MEDICARE: MADISON MARGARET PARKS PT, DPT

MEDICARE:   MADISON MARGARET PARKS  PT, DPT
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 Therapist1357797TX

General Provider Information

NPI Number : 1992452569
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON MARGARET PARKS PT, DPT
Provider Business Mailing Address
First Line : 3333 BLEECKER ST APT 411
Second Line :
City : COPPELL
State : TX
Zip : 75019-5381
Country : US
Telephone Number : 918-845-5110
Fax Number :
Provider Business Practice Location Address
First Line : 8651 JOHN T WHITE RD STE 121
Second Line :
City : FORT WORTH
State : TX
Zip : 76120-2766
Country : US
Telephone Number : 817-542-0714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2022
Last Update Date : 03/03/2022

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Directions to “ MADISON MARGARET PARKS PT, DPT” Practice Location

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