| |
1010 Travis St Ste 800, Houston, TX 77002-5928 | |
(281) 940-9423 | |
(713) 969-4834 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
Location | 1010 Travis St Ste 800, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679169247 | NPI | - | NPPES |
Provider Name | Teresa A Atkinson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538151618 PECOS PAC ID: 8628035243 Enrollment ID: I20041216000123 |
Provider Name | Keith Wade Pesnell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194760371 PECOS PAC ID: 7416912118 Enrollment ID: I20060505000773 |
Provider Name | Perlalita Sulit |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982763199 PECOS PAC ID: 4183752363 Enrollment ID: I20110607000066 |
Provider Name | Mark Ikechukwu Agholor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952999559 PECOS PAC ID: 3375948458 Enrollment ID: I20210827001467 |
Mailing Address | Practice Location Address |
---|---|
2900 Weslayan St Ste 545, Houston, TX 77027-5369 Ph: (281) 940-9423 | 1010 Travis St Ste 800, Houston, TX 77002-5928 Ph: (281) 940-9423 |