Peyton Graphia, | |
9301 N Central Expy, Dallas, TX 75231-0806 | |
(225) 329-7319 | |
Not Available |
Full Name | Peyton Graphia |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 9301 N Central Expy, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679251706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1377542 (Texas) | Primary |
Provider Name | Ortholonestar Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942860176 PECOS PAC ID: 9931529062 Enrollment ID: O20201012001450 |
Mailing Address | Practice Location Address |
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Peyton Graphia, 9301 N Central Expy Ste 451, Dallas, TX 75231-0832 Ph: (214) 397-1570 | Peyton Graphia, 9301 N Central Expy, Dallas, TX 75231-0806 Ph: (225) 329-7319 |
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