NPI age
20 years
Enumerated 2005-11-30
Across 16582 active physical therapist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 087749001 | |
| 01 (TX) | 8C6088 | PTAN |
| 01 (TX) | 742820153 | PHCS NO. |
| 01 (TX) | 659552 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | TXB103805 | MEDICARE NUMBER |
| 05 (TX) | 087749003 | |
| 01 (TX) | 742673401OAF | MERCY HEALTH PLANS |
| 01 (TX) | 8T4077 | BCBS PROVIDER NO. |
| 01 (TX) | 0081899 | BCBS BLUE LINK NO. |
| 01 (TX) | 7077083 | AETNA PROVIDER NO. |
| 01 (TX) | 742820153 | FORTIS |
| 01 (TX) | 7992711 | AETNA PIN |
| 01 (TX) | LRD008 | TML PROVIDER NO. |
| 05 (TX) | 087749002 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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