Provider Demographics
NPI:1265533939
Name:HOGUE-TOWNES, CARRIE G (PT)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:G
Last Name:HOGUE-TOWNES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 NE LOOP 286 STE 101
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-3438
Mailing Address - Country:US
Mailing Address - Phone:903-669-3535
Mailing Address - Fax:903-218-8995
Practice Address - Street 1:3360 NE LOOP 286 STE 101
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-3438
Practice Address - Country:US
Practice Address - Phone:903-669-3535
Practice Address - Fax:903-218-8995
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3833225100000X
TX1133932225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1133932OtherTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS