Organization
GILEAD SPINE AND SPORTS MANUAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN JOSEPH MONES PT (PT OWNER)
(469) 298-2318
Entity
Organization
Contact information
Practice address
3326 LAKEVIEW PKWY, ROWLETT, TX 75088-3365
(469) 298-2318
Mailing address
3326 LAKEVIEW PKWY, ROWLETT, TX 75088-3365
(469) 298-2318
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1040442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184953648
NPI
TX
Enumeration date
06/05/2017
Last updated
07/21/2022
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