Provider Demographics
NPI:1922521764
Name:RESEARCH ENHANCED PERFORMANCE SERVICES, PLLC
Entity Type:Organization
Organization Name:RESEARCH ENHANCED PERFORMANCE SERVICES, PLLC
Other - Org Name:REPS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:ALUSINE
Authorized Official - Last Name:KARGBO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, SCS, CSCS
Authorized Official - Phone:281-778-1065
Mailing Address - Street 1:5815 HORSESHOE FALLS
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459
Mailing Address - Country:US
Mailing Address - Phone:281-778-1065
Mailing Address - Fax:
Practice Address - Street 1:5815 HORSESHOE FLS
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6915
Practice Address - Country:US
Practice Address - Phone:281-778-1065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11964902251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty