Provider Demographics
NPI:1467829838
Name:HEART OF TEXAS HAND THERAPY, PLLC
Entity Type:Organization
Organization Name:HEART OF TEXAS HAND THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-235-4263
Mailing Address - Street 1:2032 N VALLEY MILLS DR STE A
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2561
Mailing Address - Country:US
Mailing Address - Phone:254-235-4263
Mailing Address - Fax:254-235-4264
Practice Address - Street 1:2032 N VALLEY MILLS DR STE A
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-2561
Practice Address - Country:US
Practice Address - Phone:254-235-4263
Practice Address - Fax:254-235-4264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115277261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation