Provider Demographics
NPI:1942916002
Name:AZURIN, ADRIAN MICHAEL (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN MICHAEL
Middle Name:
Last Name:AZURIN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13704 MOORING POINTE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1854
Mailing Address - Country:US
Mailing Address - Phone:832-790-6438
Mailing Address - Fax:
Practice Address - Street 1:3569 BUSINESS CENTER DR STE 195-B
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-1911
Practice Address - Country:US
Practice Address - Phone:281-626-9932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1289503225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist