Provider Demographics
NPI:1760722672
Name:NASR, ANDREW J (PT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:NASR
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 1:6050 LONG PRAIRIE RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2597
Mailing Address - Country:US
Mailing Address - Phone:972-539-5795
Mailing Address - Fax:972-539-5793
Practice Address - Street 1:6050 LONG PRAIRIE RD
Practice Address - Street 2:SUITE 600
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2597
Practice Address - Country:US
Practice Address - Phone:972-539-5795
Practice Address - Fax:972-539-5793
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1227546225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist