Organization
ALTA MESA PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD HANCOCK III PT (PRES / OWNER)
(915) 544-4100
Entity
Organization
Contact information
Practice address
615 E SCHUSTER AVE, SUITE 9A, EL PASO, TX 79902-4350
(915) 544-4100
(915) 544-4102
Mailing address
615 E SCHUSTER AVE, SUITE 9A, EL PASO, TX 79902-4350
(915) 544-4100
(915) 544-4102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1111896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2885147-01
—
TX
01
—
TXB129022
MEDICARE
—
Enumeration date
11/29/2010
Last updated
02/19/2013
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