Provider Demographics
NPI:1679828339
Name:TEXAS DOCTORS OF PHYSICAL THERAPY LLP
Entity Type:Organization
Organization Name:TEXAS DOCTORS OF PHYSICAL THERAPY LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TANNER
Authorized Official - Middle Name:DUC
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:713-409-0172
Mailing Address - Street 1:5711 BISSONNET ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4725
Mailing Address - Country:US
Mailing Address - Phone:713-592-6303
Mailing Address - Fax:
Practice Address - Street 1:5711 BISSONNET ST
Practice Address - Street 2:SUITE A
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4725
Practice Address - Country:US
Practice Address - Phone:713-592-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty