Organization
DALLAS CENTRAL PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY WAYNE CARROLL (OWNER)
(325) 648-2350
Entity
Organization
Contact information
Practice address
1503 1/2 W FRONT ST, GOLDTHWAITE, TX 76844-2056
(325) 648-2350
Mailing address
PO BOX 911, GOLDTHWAITE, TX 76844-2056
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1020709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021739001
—
TX
05
—
087783901
—
TX
Enumeration date
07/12/2006
Last updated
03/13/2012
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