Provider Demographics
NPI:1285818831
Name:STAY STRONG PHYSICAL THERAPY-ARGYLE, PLLC
Entity Type:Organization
Organization Name:STAY STRONG PHYSICAL THERAPY-ARGYLE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BRAZIEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT
Authorized Official - Phone:940-591-7071
Mailing Address - Street 1:P.O. BOX 372
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226
Mailing Address - Country:US
Mailing Address - Phone:940-591-7071
Mailing Address - Fax:940-591-7002
Practice Address - Street 1:2126 HAMILTON DRIVE
Practice Address - Street 2:SUITE 230
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226
Practice Address - Country:US
Practice Address - Phone:940-591-7071
Practice Address - Fax:940-591-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2000X
TX1161898 PT261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy