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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