Provider Demographics
NPI:1588833669
Name:US PT MANAGED CARE INC
Entity Type:Organization
Organization Name:US PT MANAGED CARE INC
Other - Org Name:VIRGINIA SPORTS MEDICINE & HAND THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:1300 W SAM HOUSTON PKWY S
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2447
Mailing Address - Country:US
Mailing Address - Phone:713-297-7000
Mailing Address - Fax:713-297-7090
Practice Address - Street 1:13321 MIDLOTHIAN TPKE
Practice Address - Street 2:SUITE E
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-4270
Practice Address - Country:US
Practice Address - Phone:804-897-0704
Practice Address - Fax:804-897-1681
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:US PT MANAGED CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies