Provider Demographics
NPI:1477832145
Name:CASTRO BECKER, MERCY GRACE BAO ANGAN (LPT)
Entity Type:Individual
Prefix:MRS
First Name:MERCY GRACE
Middle Name:BAO ANGAN
Last Name:CASTRO BECKER
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:MERCY GRACE
Other - Middle Name:BAO ANGAN
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPT
Mailing Address - Street 1:837 CYPRESS CREEK PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3423
Mailing Address - Country:US
Mailing Address - Phone:281-586-3888
Mailing Address - Fax:281-440-2020
Practice Address - Street 1:837 CYPRESS CREEK PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3423
Practice Address - Country:US
Practice Address - Phone:281-586-3888
Practice Address - Fax:281-440-2020
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1209803OtherTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS