Maria Theresa Parcon, PT | |
2990 Laurel St, Beaumont, TX 77702-2104 | |
(409) 861-1009 | |
Not Available |
Full Name | Maria Theresa Parcon |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2990 Laurel St, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134901127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1094571 (Texas) | Primary |
Provider Name | Triangle Therapeutics |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1619995651 PECOS PAC ID: 2466443601 Enrollment ID: O20040518001246 |
Mailing Address | Practice Location Address |
---|---|
Maria Theresa Parcon, PT 5957 9th Ave, Port Arthur, TX 77642-6204 Ph: (409) 982-8878 | Maria Theresa Parcon, PT 2990 Laurel St, Beaumont, TX 77702-2104 Ph: (409) 861-1009 |
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