Provider Demographics
NPI:1841962461
Name:PHYSWORX LLC
Entity type:Organization
Organization Name:PHYSWORX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAWLESS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:713-906-9511
Mailing Address - Street 1:3411 RICHMOND AVE # 675
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77046-3400
Mailing Address - Country:US
Mailing Address - Phone:171-390-6951
Mailing Address - Fax:
Practice Address - Street 1:3411 RICHMOND AVE # 675
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77046-3400
Practice Address - Country:US
Practice Address - Phone:171-390-6951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service