Organization
WILCO THERANET, LLC
Active
Other names
Physical Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS C WILLIAMS P.T. (PT DIRECTOR / OWNER)
(936) 294-0283
Entity
Organization
Contact information
Practice address
127 MEDICAL PARK LN, HUNTSVILLE, TX 77340-4972
(936) 294-0283
(936) 294-9878
Mailing address
127 MEDICAL PARK LN, HUNTSVILLE, TX 77340-4972
(936) 294-0283
(936) 294-9878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
640210000
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152359901
—
TX
01
—
85643T
BCBS PROVIDER NUMBER
TX
Enumeration date
10/03/2006
Last updated
01/27/2026
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