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Organization

DAVIDSON PHYSICAL THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID EDWARD DAVIDSON SR. P.T. (PRESIDENT)
(713) 864-0556
Entity
Organization

Contact information

Practice address
1919 NORTH LOOP W, SUITE 130, HOUSTON, TX 77008-1374
(713) 864-0556
(713) 864-1059
Mailing address
1919 NORTH LOOP W, SUITE 430, HOUSTON, TX 77008-1374
(713) 864-0556
(713) 864-1059

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1007458
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0022QJ
BLUE CROSS BLUE SHIELD
TX
05
Z06500293
TX
Enumeration date
01/25/2007
Last updated
12/20/2007
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