Provider Demographics
NPI:1053482323
Name:TEMPORARAY PERSONNEL OF HOUSTON
Entity Type:Organization
Organization Name:TEMPORARAY PERSONNEL OF HOUSTON
Other - Org Name:TEMPORARY PHYSICAL THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/DIRECTOR OF CLINICAL SERVICES P
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:LARRY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:281-265-1705
Mailing Address - Street 1:7023 KAYLEIGH CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5534
Mailing Address - Country:US
Mailing Address - Phone:281-265-1705
Mailing Address - Fax:281-265-0848
Practice Address - Street 1:7023 KAYLEIGH CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5534
Practice Address - Country:US
Practice Address - Phone:281-265-1705
Practice Address - Fax:281-265-0848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10011935OtherAMERIGROUP
TX108035002Medicaid
TX0062DSOtherBLUECROSSBLUESHEILD OF TX
TX108035002Medicaid