Provider Demographics
NPI:1982016804
Name:BEEVILLE PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:BEEVILLE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:CELESTE
Authorized Official - Last Name:DIAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:361-542-4652
Mailing Address - Street 1:1406 E HOUSTON ST
Mailing Address - Street 2:D
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-5346
Mailing Address - Country:US
Mailing Address - Phone:361-542-4652
Mailing Address - Fax:361-542-4653
Practice Address - Street 1:1406 E HOUSTON ST
Practice Address - Street 2:D
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5346
Practice Address - Country:US
Practice Address - Phone:361-542-4652
Practice Address - Fax:361-542-4653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1181756261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy