Laura Elena Black, PT | |
1420 Shoreview Cv, Austin, TX 78732-2233 | |
(512) 299-4626 | |
Not Available |
Full Name | Laura Elena Black |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 1420 Shoreview Cv, Austin, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770979080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | 1168830 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehabilitation Services Tx Llc | 7113330879 | 54 |
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 |
---|---|
Laura Elena Black, PT 1420 Shoreview Cv, Austin, TX 78732-2233 Ph: (512) 299-4626 | Laura Elena Black, PT 1420 Shoreview Cv, Austin, TX 78732-2233 Ph: (512) 299-4626 |
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