Provider Demographics
NPI:1396594313
Name:TEXAS PHYSIO ASSOCIATES PC
Entity type:Organization
Organization Name:TEXAS PHYSIO ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISLAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELATY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-806-3958
Mailing Address - Street 1:5060 TENNYSON PKWY STE 303
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4170
Mailing Address - Country:US
Mailing Address - Phone:917-806-3958
Mailing Address - Fax:
Practice Address - Street 1:5060 TENNYSON PKWY STE 303
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4170
Practice Address - Country:US
Practice Address - Phone:917-806-3958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty