Ely Lagazo, PHYSICAL THERAPIST is a
Physical Therapist based in Del Valle, Texas. Ely Lagazo is licensed to practice in Texas (license number 1283640) and his current practice location is
5324 Mathra Dr, Del Valle, Texas. He can be reached at his office (for appointments etc.) via phone at
(713) 385-1843.
NPI number for Ely Lagazo is 1316656309 and his current mailing address is 5324 Mathra Dr, Del Valle, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316656309.
Healthcare Provider's Profile
Full Name | Ely Lagazo |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 5324 Mathra Dr, Del Valle, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316656309
- Provider Enumeration Date: 11/17/2022
- Last Update Date: 11/17/2022
Medical Identifiers
Medical identifiers for Ely Lagazo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316656309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1283640 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ely Lagazo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ely Lagazo, PHYSICAL THERAPIST 5324 Mathra Dr, Del Valle, TX 78617-5852 Ph: () - | Ely Lagazo, PHYSICAL THERAPIST 5324 Mathra Dr, Del Valle, TX 78617-5852 Ph: (713) 385-1843 |
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