Organization
LONE STAR PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANA FULENWIDER PT, DPT (PRESIDENT)
(214) 884-9695
Entity
Organization
Contact information
Practice address
10300 N CENTRAL EXPY STE 171, DALLAS, TX 75231-8637
(214) 884-9695
(877) 884-4589
Mailing address
10455 N CENTRAL EXPY # 109-122, DALLAS, TX 75231-2213
(214) 884-9695
(877) 884-4589
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
670770000
TX
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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