Organization
PHYSICARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE JASON HAYNES P.T. (PRESIDENT)
(817) 594-9200
Entity
Organization
Contact information
Practice address
879 EUREKA ST, WEATHERFORD, TX 76086-5807
(817) 594-9200
(817) 594-9202
Mailing address
PO BOX 237, WEATHERFORD, TX 76086-0237
(817) 594-9200
(817) 594-9202
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
652460000
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/05/2005
Last updated
04/12/2013
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