Organization
VISTA JV PARTNERS LLC
Active
Other names
VISTA PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PACE MS PT (OWNER, COO)
(213) 804-1712
Entity
Organization
Contact information
Practice address
6060 ROCKY POINT TRL STE 100, LAKE WORTH, TX 76135-2448
(469) 676-2806
Mailing address
2600 DALLAS PKWY STE 290, FRISCO, TX 75034-7493
(945) 260-0010
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/13/2023
Last updated
10/16/2023
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