Mae Diploma Tidalgo, | |
605 Avenue E, El Campo, TX 77437-3803 | |
(256) 318-7500 | |
Not Available |
Full Name | Mae Diploma Tidalgo |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 605 Avenue E, El Campo, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356806574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1284660 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mae Diploma Tidalgo, 605 Avenue E, El Campo, TX 77437-3803 Ph: (256) 318-7500 | Mae Diploma Tidalgo, 605 Avenue E, El Campo, TX 77437-3803 Ph: (256) 318-7500 |
Dr. Taylor Koudela, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 248 Wisteria Ln, El Campo, TX 77437 Phone: 979-648-2628 | |
Gatha Neva Wilson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1008 Empire St, El Campo, TX 77437 Phone: 979-578-1216 |