Provider Demographics
NPI:1013122829
Name:TEXSTAR PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:TEXSTAR PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:2008 E HEBRON PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2008 E HEBRON PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1602
Practice Address - Country:US
Practice Address - Phone:972-939-6941
Practice Address - Fax:972-939-4903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5778270001Medicare NSC