Nolan Tong, MOTR/L | |
13831 Garrett Rd, Houston, TX 77044-6421 | |
(580) 756-0105 | |
Not Available |
Full Name | Nolan Tong |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 13831 Garrett Rd, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386838142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 110992 (Texas) | Primary |
Provider Name | Fox Rehabilitation Services Tx Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710582580 PECOS PAC ID: 7113330879 Enrollment ID: O20210119002550 |
Mailing Address | Practice Location Address |
---|---|
Nolan Tong, MOTR/L 13831 Garrett Rd, Houston, TX 77044-6421 Ph: (580) 756-0105 | Nolan Tong, MOTR/L 13831 Garrett Rd, Houston, TX 77044-6421 Ph: (580) 756-0105 |
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