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Organization
THE PEDIATRIC THERAPY CENTER PC
Active
Organization
THE PEDIATRIC THERAPY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MULLINS (OWNER)
(940) 206-9009
Entity
Organization
Contact information
Practice address
209 E UNIVERSITY DR, DENTON, TX 76209-2011
(940) 206-9009
Mailing address
209 E UNIVERSITY DR, DENTON, TX 76209-2011
(940) 206-9009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067MX
BCBS
TX
05
—
152023101
—
TX
Enumeration date
06/24/2006
Last updated
07/08/2009
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