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Individual

BRENT ENGELAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7300 W GREENS RD, HOUSTON, TX 77064-1136
(281) 955-8666
Mailing address
3803 FOREST VILLAGE DR, KINGWOOD, TX 77339-1818
(281) 360-3498

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1043057
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043057
LICENSE#
TX
Enumeration date
11/01/2006
Last updated
05/13/2014
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