Provider Demographics
NPI:1598055238
Name:DOCTOR, HEMINA S (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:HEMINA
Middle Name:S
Last Name:DOCTOR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 WILLIAMS DR STE 212-319
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-1332
Mailing Address - Country:US
Mailing Address - Phone:512-489-6861
Mailing Address - Fax:512-500-0125
Practice Address - Street 1:1160 RIVER VISTA RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-3253
Practice Address - Country:US
Practice Address - Phone:512-489-6861
Practice Address - Fax:512-500-0125
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1157710225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist