Rodrigo Quevedo, PT, DPT | |
3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | |
(214) 442-4214 | |
Not Available |
Full Name | Rodrigo Quevedo |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 3100 Olympus Blvd Ste 500, Coppell, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023575214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1315309 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Sport And Spine Center Inc | 5496656563 | 16 |
Southwest Sport And Spine Center Inc | 5496656563 | 16 |
Provider Name | Southwest Sport And Spine Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164475208 PECOS PAC ID: 5496656563 Enrollment ID: O20160601000273 |
Mailing Address | Practice Location Address |
---|---|
Rodrigo Quevedo, PT, DPT 624 Willow Glen Dr, El Paso, TX 79922-2209 Ph: (915) 422-8252 | Rodrigo Quevedo, PT, DPT 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 Ph: (214) 442-4214 |
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