Organization
MANUAL PHYSICAL THERAPY SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS A PARGA PT (OWNER)
(915) 591-0243
Entity
Organization
Contact information
Practice address
1421 N. LEE TREVINO DR., SUITE B2A, EL PASO, TX 79936
(915) 591-0243
(915) 591-0256
Mailing address
1421 N LEE TREVINO DR, SUITE B2A, EL PASO, TX 79936-6463
(915) 591-0243
(915) 591-0256
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1179939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1179939
TEXAS PT LIC # 1179939
TX
Enumeration date
12/15/2011
Last updated
09/15/2015
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