Obach Physical Therapy Clinic Llc | |
200 County Road 3801, Bullard, TX 75757 | |
(903) 894-4633 | |
(903) 894-4648 |
Full Name | Obach Physical Therapy Clinic Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 200 County Road 3801, Bullard, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912398348 | NPI | - | NPPES |
1059236 | Other | TX | LICENSE NO. |
1063700110 | Other | TX | NPI |
TXB134151 | Other | TX | MEDICARE NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1059236 (Texas) | Primary |
Provider Name | Ralph R Obach |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063700110 PECOS PAC ID: 1850562745 Enrollment ID: I20110926000759 |
Provider Name | Penny L Patterson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760746184 PECOS PAC ID: 9739338369 Enrollment ID: I20120925000723 |
Provider Name | Kevin Ryan Ridad |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629658893 PECOS PAC ID: 6406254325 Enrollment ID: I20211007000926 |
Provider Name | Patrick Michael Cook |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427651512 PECOS PAC ID: 7618365933 Enrollment ID: I20211019001588 |
Mailing Address | Practice Location Address |
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Obach Physical Therapy Clinic Llc 4882 Hightech Dr, Tyler, TX 75703-2613 Ph: (903) 300-0234 | Obach Physical Therapy Clinic Llc 200 County Road 3801, Bullard, TX 75757 Ph: (903) 894-4633 |
Ralph Rosauro Mendoza Obach, LPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 200 County Rd 3801, Bullard, TX 75757 Phone: 903-894-4633 Fax: 903-463-4648 | |
Micaela Mcsheffery Lewis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 County Road 3801, Bullard, TX 75757 Phone: 903-243-0421 |