Provider Demographics
NPI:1952518599
Name:AZIZ, SAMY (PT)
Entity Type:Individual
Prefix:
First Name:SAMY
Middle Name:
Last Name:AZIZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 BILLIE JOHNSON LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-5237
Mailing Address - Country:US
Mailing Address - Phone:469-878-9182
Mailing Address - Fax:972-414-0207
Practice Address - Street 1:1306 BILLIE JOHNSON LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-5237
Practice Address - Country:US
Practice Address - Phone:469-878-9182
Practice Address - Fax:972-414-0207
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1090181225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist