Organization
DR. MICHAEL FLYZIK DPT,OCS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FLYZIK DPT,OCS (OWNER/PROVIDER)
(817) 416-1444
Entity
Organization
Contact information
Practice address
1621 E SOUTHLAKE BLVD, SUITE 300, SOUTHLAKE, TX 76092-6448
(817) 416-1444
(817) 416-0060
Mailing address
1621 E SOUTHLAKE BLVD, SUITE 300, SOUTHLAKE, TX 76092-6448
(817) 416-1444
(817) 416-0060
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1082675
TX
Other
Enumeration date
01/28/2008
Last updated
07/31/2008
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