Organization
JOINT SELECT PT LLC
Active
Organization
JOINT SELECT PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAGUN TYAGI (ADMINISTRATOR)
(832) 598-2135
Entity
Organization
Contact information
Practice address
12000 RICHMOND AVE STE 135, HOUSTON, TX 77082-2455
(832) 598-2135
Mailing address
12000 RICHMOND AVE STE 135, HOUSTON, TX 77082-2455
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
683210000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
683210000
STATE LICENSE - PTOT
TX
Enumeration date
02/05/2018
Last updated
02/05/2018
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