Provider Demographics
NPI:1558679183
Name:PHYSIWORKS INC
Entity Type:Organization
Organization Name:PHYSIWORKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSBANDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-974-5095
Mailing Address - Street 1:3556 SPENCER HWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1110
Mailing Address - Country:US
Mailing Address - Phone:281-974-5095
Mailing Address - Fax:281-974-5109
Practice Address - Street 1:3556 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1110
Practice Address - Country:US
Practice Address - Phone:281-974-5095
Practice Address - Fax:281-974-5109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy