Provider Demographics
NPI:1982063863
Name:HEART OF TEXAS PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:HEART OF TEXAS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:BRINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:254-981-3238
Mailing Address - Street 1:5016 W WACO DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-7022
Mailing Address - Country:US
Mailing Address - Phone:254-301-7374
Mailing Address - Fax:800-862-5429
Practice Address - Street 1:5016 W WACO DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7022
Practice Address - Country:US
Practice Address - Phone:254-301-7374
Practice Address - Fax:800-862-5429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty