Provider Demographics
NPI:1578229142
Name:REPUBLIC THERAPEUTICS LLC
Entity Type:Organization
Organization Name:REPUBLIC THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:HOUSTON
Authorized Official - Last Name:CHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:832-753-4112
Mailing Address - Street 1:16819 ORCHID MIST DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6383
Mailing Address - Country:US
Mailing Address - Phone:832-753-4112
Mailing Address - Fax:832-777-7188
Practice Address - Street 1:16819 ORCHID MIST DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6383
Practice Address - Country:US
Practice Address - Phone:832-753-4112
Practice Address - Fax:832-777-7188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty