Organization
HOUSTON SOUTHWEST PHYSICAL THERAPY
Active
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
Update your record
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