Organization
BCS MANAGEMENT LLC
Active
Organization
BCS MANAGEMENT LLC
Active
Other names
Physical Therapy Now of Irving
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEA FONDA (CREDENTIALING MANAGER)
(305) 517-1219
Entity
Organization
Contact information
Practice address
2642 N BELT LINE RD, SUITE 2642, IRVING, TX 75062
(305) 570-1666
(305) 203-0546
Mailing address
2642 N BELT LINE RD, SUITE 2642, IRVING, TX 75062
(305) 570-1666
(305) 203-0546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1283273
MEDICAL LICENSE
TX
Enumeration date
05/21/2019
Last updated
05/21/2019
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