Organization
LAKSHMIBA LLC
Active
Other names
Health Club at Travis Place
Organization subpart
No
Provider details
NPI number
Authorized official
SHASHI M PATIL (MANAGER)
(832) 212-7767
Entity
Organization
Contact information
Practice address
1010 TRAVIS ST STE 800, HOUSTON, TX 77002-5928
(281) 940-9423
(713) 969-4834
Mailing address
2900 WESLAYAN ST STE 545, HOUSTON, TX 77027-5369
(281) 940-9423
(713) 969-4834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
03/17/2021
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