Nicole Hoag, PT, DPT | |
4900 Mueller Blvd, Austin, TX 78723-3051 | |
(512) 324-0138 | |
Not Available |
Full Name | Nicole Hoag |
---|---|
Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 4900 Mueller Blvd, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629790811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | 1350950 (Texas) | Primary |
Provider Name | Dell Childrens Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
Mailing Address | Practice Location Address |
---|---|
Nicole Hoag, PT, DPT 4900 Mueller Blvd, Austin, TX 78723-3051 Ph: (512) 324-0138 | Nicole Hoag, PT, DPT 4900 Mueller Blvd, Austin, TX 78723-3051 Ph: (512) 324-0138 |
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