Organization
TEXOMA PHYSICAL THERAPY PLLC
Active
Other names
Texoma Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR LIRIO LINZAG PT (OWNER)
(903) 957-0385
Entity
Organization
Contact information
Practice address
301 N HIGHLAND AVE, SHERMAN, TX 75092-7349
(903) 957-0385
(903) 957-4006
Mailing address
301 N HIGHLAND AVE, SHERMAN, TX 75092-7349
(903) 957-0385
(903) 957-4006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1020311
TX
174400000X
Specialist
1073286
TX
174400000X
Specialist
1074177
TX
174400000X
Specialist
1081404
TX
174400000X
Specialist
108869
TX
174400000X
Specialist
549960000
TX
174400000X
Specialist
649170000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037JB
BCBS GOUP NUMBER
TX
05
—
152780601
—
TX
Enumeration date
08/05/2006
Last updated
04/18/2013
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