Poonam Gupta, | |
15119 Wallisville Rd Ste 100, Houston, TX 77049-4629 | |
(713) 957-2552 | |
Not Available |
Full Name | Poonam Gupta |
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Gender | Female |
Speciality | Physical Therapist |
Location | 15119 Wallisville Rd Ste 100, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437842713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1374078 (Texas) | Primary |
Provider Name | Advance Therapy, Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710187737 PECOS PAC ID: 6507831773 Enrollment ID: O20120502000743 |
Mailing Address | Practice Location Address |
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Poonam Gupta, 18502 W Bellfort St Ste 118, Richmond, TX 77407-9003 Ph: () - | Poonam Gupta, 15119 Wallisville Rd Ste 100, Houston, TX 77049-4629 Ph: (713) 957-2552 |
Mr. Ruben Isidro Bautista, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7333 North Freeway #290, Metropolitan Physical Therapy, Houston, TX 77076 Phone: 713-691-7368 Fax: 713-691-0527 | |
Fariborz Nezamabadi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5868 Westheimer Rd # 211, Houston, TX 77057 Phone: 832-605-4487 | |
Vishal M Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13428 Bissonnet Street, Houston, TX 77083 Phone: 408-834-0888 | |
Marcille C Baumgartner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6624 Fannin, Suite 2600, Houston, TX 77030 Phone: 713-790-1818 Fax: 713-790-7500 | |
Medirehab And Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8831 Long Point Rd, Suite 103, Houston, TX 77055 Phone: 713-365-9100 Fax: 713-365-9101 | |
Rachael Lynne Mervine, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1615 Hermann Dr, Unit 1112, Houston, TX 77004 Phone: 413-627-1239 | |
Marc Gardner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6213 Skyline Dr, #200, Houston, TX 77057 Phone: 713-880-4400 Fax: 713-869-8637 |