| Mark Herrera, DPT | |
|
1300 Dacy Ln Ste 100, Kyle, TX 78640-4194 | |
| (512) 213-8001 | |
| (512) 436-0874 |
| Full Name | Mark Herrera |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1300 Dacy Ln Ste 100, Kyle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982066874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1271369 (Texas) | Primary |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20160425001328 |
| Provider Name | Halcyon Home Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962825547 PECOS PAC ID: 4688806433 Enrollment ID: O20210524002828 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Herrera, DPT Po Box 306393, Nashville, TN 37230-6393 Ph: (615) 373-1350 | Mark Herrera, DPT 1300 Dacy Ln Ste 100, Kyle, TX 78640-4194 Ph: (512) 213-8001 |
Jared Nugent, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Philomena Dr, Kyle, TX 78640 Phone: 512-812-9487 | |
Texas Physical Therapy Specialists Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4100 Everett Dr Ste 130, Kyle, TX 78640 Phone: 512-738-8510 | |
Dr. Sean Matthew Kishel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1300 Dacy Ln Ste 100, Kyle, TX 78640 Phone: 512-213-8001 Fax: 512-436-0874 | |
Elizabeth Cote, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4100 Everett Dr Ste 130, Kyle, TX 78640 Phone: 512-738-8510 | |
Simran Gutierrez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035 | |
Deven Fuentes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4100 Everett Ste 130, Kyle, TX 78640 Phone: 512-738-8510 | |
Dr. Katia Lizeth Pena Garcia, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Cromwell Dr Apt 11304, Kyle, TX 78640 Phone: 270-303-2252 |