| |
3351 Regent Blvd Ste 140a, Irving, TX 75063-3101 | |
(214) 774-2995 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 3351 Regent Blvd Ste 140a, Irving, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871200055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 306393, Nashville, TN 37230-6393 Ph: () - | 3351 Regent Blvd Ste 140a, Irving, TX 75063-3101 Ph: (214) 774-2995 |