Organization
HOUSTON SOUTHWEST PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE PATRICIA LARRY PT (MANAGER OF CLINICAL SERVICES)
(281) 265-1705
Entity
Organization
Contact information
Practice address
7023 KAYLEIGH CT, SUITE A, SUGAR LAND, TX 77479-5534
(281) 265-1705
(281) 265-0848
Mailing address
PO BOX 18576, SUITE, SUGAR LAND, TX 77496-8576
(281) 265-1705
(281) 265-0848
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
646410000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1080350
—
TX
01
—
6400048
EVERCARE PROVIDER ID
TX
Enumeration date
09/20/2006
Last updated
08/26/2013
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