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Organization
PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE INC
Active
Organization
PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE INC
Active
Other names
Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CLAYTON MEEKINS LPT (OWNER LPT THERAPIST IN CHARGE)
(936) 321-1101
Entity
Organization
Contact information
Practice address
18445 HIGHWAY 105 W, SUITE 103, MONTGOMERY, TX 77356-6064
(936) 321-1101
(936) 321-1107
Mailing address
PO BOX 3064, CONROE, TX 77305-3064
(936) 321-1101
(936) 321-1107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1143378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078223
BLUE LINK #
TX
01
—
1417997826
INDIVIDUAL NPI #
TX
01
—
8T6301
INDIVIDUAL BC/BS PROVIDER #
TX
Enumeration date
05/13/2008
Last updated
11/14/2013
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