Provider Demographics
NPI:1740210954
Name:MASIGLAT, AGNES TECSON (PT)
Entity Type:Individual
Prefix:MRS
First Name:AGNES
Middle Name:TECSON
Last Name:MASIGLAT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4271 NORTHVALE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1132
Mailing Address - Country:US
Mailing Address - Phone:281-444-9013
Mailing Address - Fax:713-490-1208
Practice Address - Street 1:1414 SOUTH LOOP W
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3825
Practice Address - Country:US
Practice Address - Phone:713-797-6106
Practice Address - Fax:713-490-1208
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1091304225100000X
NC3508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist