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Organization
TEMPORARAY PERSONNEL OF HOUSTON
Active
Organization
TEMPORARAY PERSONNEL OF HOUSTON
Active
Other names
Temporary Physical Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE PATRICIA LARRY PT (CEO/DIRECTOR OF CLINICAL SERVICES P)
(281) 265-1705
Entity
Organization
Contact information
Practice address
7023 KAYLEIGH CT, SUGAR LAND, TX 77479-5534
(281) 265-1705
(281) 265-0848
Mailing address
7023 KAYLEIGH CT, SUGAR LAND, TX 77479-5534
(281) 265-1705
(281) 265-0848
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062DS
BLUECROSSBLUESHEILD OF TX
TX
01
—
10011935
AMERIGROUP
TX
05
—
108035002
—
TX
Enumeration date
11/10/2006
Last updated
03/11/2024
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