Provider Demographics
NPI:1588807200
Name:ENERIO, JOHNZEN BAHIA (PT)
Entity Type:Individual
Prefix:MR
First Name:JOHNZEN
Middle Name:BAHIA
Last Name:ENERIO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:501 TERRACE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3714
Mailing Address - Country:US
Mailing Address - Phone:214-562-7524
Mailing Address - Fax:
Practice Address - Street 1:6101 OHIO DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2720
Practice Address - Country:US
Practice Address - Phone:972-468-6291
Practice Address - Fax:214-291-9882
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1174070225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist