Individual
SHAILA RENA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Mailing address
5604 SOUTHWEST PKWY APT 1012, AUSTIN, TX 78735-6248
(325) 214-4290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2163450
TX
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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