Provider Demographics
NPI:1902372592
Name:FIRST CHOICE PHYSICAL MEDICINE PLLC
Entity Type:Organization
Organization Name:FIRST CHOICE PHYSICAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GERHART
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:972-689-3711
Mailing Address - Street 1:1200 COIT RD STE 109
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7756
Mailing Address - Country:US
Mailing Address - Phone:972-930-9777
Mailing Address - Fax:469-786-5031
Practice Address - Street 1:1200 COIT RD STE 109
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7756
Practice Address - Country:US
Practice Address - Phone:972-930-9777
Practice Address - Fax:469-786-5031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP127998OtherNP LICENSE