Organization
THERASPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARY G MALONE PT DPT (PRESIDENT)
(409) 384-7041
Entity
Organization
Contact information
Practice address
296 MARVIN HANCOCK DR, JASPER, TX 75951-3479
(409) 384-7041
(409) 384-7064
Mailing address
296 MARVIN HANCOCK DR, JASPER, TX 75951-3479
(409) 384-7041
(409) 384-7064
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30KX
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
06/03/2006
Last updated
06/28/2024
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