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Organization
GREATER TEXAS SPORTS MEDICINE LLC
Active
Organization
GREATER TEXAS SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAULIK PANCHOLI PT, DPT (DIRECTOR)
(678) 687-8393
Entity
Organization
Contact information
Practice address
2600 S LOOP W STE 648, HOUSTON, TX 77054-5601
(678) 687-7494
(832) 915-5523
Mailing address
2600 S LOOP W STE 648, HOUSTON, TX 77054-5601
(678) 687-7494
(281) 664-3769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
12/05/2024
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