Provider Demographics
NPI:1700125747
Name:PHYZIOCARE THERAPY LLC
Entity Type:Organization
Organization Name:PHYZIOCARE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAMBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:QUARTEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:956-686-8888
Mailing Address - Street 1:3049 W ALBERTA RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3118
Mailing Address - Country:US
Mailing Address - Phone:956-686-8888
Mailing Address - Fax:956-630-1211
Practice Address - Street 1:3049 W ALBERTA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3118
Practice Address - Country:US
Practice Address - Phone:956-686-8888
Practice Address - Fax:956-630-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673640000225100000X
TX673640001225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty