Mr Clarence Wilborn Tapley Iii, PT | |
1149 N Jackson St, Houston, MS 38851-8273 | |
(662) 542-0491 | |
Not Available |
Full Name | Mr Clarence Wilborn Tapley Iii |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 1149 N Jackson St, Houston, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376978361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1029 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Houston Physical Therapy And Performance Center Llc | 5597162297 | 4 |
Provider Name | Houston Physical Therapy And Performance Center Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801566195 PECOS PAC ID: 5597162297 Enrollment ID: O20210923000152 |
Mailing Address | Practice Location Address |
---|---|
Mr Clarence Wilborn Tapley Iii, PT 1149 N Jackson St, Houston, MS 38851-8273 Ph: (662) 542-0491 | Mr Clarence Wilborn Tapley Iii, PT 1149 N Jackson St, Houston, MS 38851-8273 Ph: (662) 542-0491 |
Mrs. Regina Lynn Grimes, PT, C/NDT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 County Road 441, Houston, MS 38851 Phone: 662-231-1187 Fax: 662-448-1189 | |
Gladys Carla Staten, Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Kyle Dr Ste 2, Houston, MS 38851 Phone: 662-794-2878 Fax: 662-456-1269 | |
Houston Physical Therapy And Performance Center Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Kyle Dr Ste 2, Houston, MS 38851 Phone: 662-542-0491 |