Carolina Affonso Urbano, | |
3000 Fm 407 E Ste 500, Bartonville, TX 76226-9300 | |
(940) 448-2007 | |
Not Available |
Full Name | Carolina Affonso Urbano |
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Gender | Female |
Speciality | Physical Therapist |
Location | 3000 Fm 407 E Ste 500, Bartonville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063122695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1369899 (Texas) | Primary |
Provider Name | Ideal Physical Therapy Of Texas Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
Mailing Address | Practice Location Address |
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Carolina Affonso Urbano, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Carolina Affonso Urbano, 3000 Fm 407 E Ste 500, Bartonville, TX 76226-9300 Ph: (940) 448-2007 |
Tingyoung Ou, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 940-448-2007 Fax: 972-979-6951 | |
Shi Qing Ong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 972-979-6577 | |
Forrest Russell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 940-448-2007 | |
Elizabeth Azpeitia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 940-448-2007 | |
Tracy Lynne Egelin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fm 407 Suite 500, Bartonville, TX 76226 Phone: 940-448-2007 Fax: 940-448-2531 |