EAST TEXAS PEDIATRIC THERAPY


Address: 1738 Vzcr 3103, Edgewood, TX 75117-5020
Phone: 2143362248

EAST TEXAS PEDIATRIC THERAPY (NPI# 1740422575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740422575
Entity Type Organization
Organization Name EAST TEXAS PEDIATRIC THERAPY
Practice Address 1738 Vzcr 3103
Edgewood
TX 75117-5020
Practice Telephone 2143362248
Practice Fax Number 9725341881
Mailing Telephone 2143362248
Mailing Fax Number 9725341881
Enumeration Date 2009-03-25
Last Update Date 2009-03-25
Authorized Official Name MRS. DAWN M GOBER (OWNER/PTA)
Authorized Official Telephone 2143362248
Authorized Official Credential PTA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor Other Service Providers

Office Location

Street Address 1738 VZCR 3103
City EDGEWOOD
State TX
Zip Code 75117-5020

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871909275 Edgewood Rural Healthh Clinic Family Medicine 106 East Pine Street, Edgewood, TX 75117 2014-07-07
1790910263 Edith Head Physical Therapist 108 N Houston, Edgewood, TX 75117 2009-05-27
1457493769 Edgewood Isd Local Education Agency (LEA) 804 East Pine St, Edgewood, TX 75117 2007-02-13
1811969165 Shannon E Phillips Jr. Nurse Practitioner 116 N. Houston St., Edgewood, TX 75117 2006-02-02
1740512417 Dana Hullum Speech-Language Pathologist 108 N Houston, Edgewood, TX 75117 2010-02-05
1366585218 Yvonne Carol Dixon Licensed Vocational Nurse 608 N Houston St, Edgewood, TX 75117-2303 2007-02-14
1912407677 Frances Mae Cornwell Licensed Vocational Nurse 303 Bowie St, Edgewood, TX 75117-2347 2018-02-19
1861714628 Gober LLC Occupational Therapist 108 N Houston St, Edgewood, TX 75117-2500 2010-02-22
1972687614 Edgewood Drug Inc Pharmacy 115 N Houston St, Edgewood, TX 75117-2502 2006-10-25
1588164115 Cindy Rea Wilhite Licensed Vocational Nurse 104 Johnson St, Edgewood, TX 75117-2708 2018-02-20
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144649336 Troy Michael Englehart II Contractor 1401 Pulaski Higjway, F, Edgewood, MD 21009 2014-04-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174123228 D and J Development Contractor 3016 N I 35 E, Lancaster, TX 75134-1851 2020-10-28
1427657659 Mipcn, Inc. Contractor 9305 Hammerly Blvd, Houston, TX 77080-5413 2020-10-19
1497353569 Mark Sanders Contractor 3046 Fordham Rd, Dallas, TX 75216-4819 2020-10-12
1215534227 Michael Clark Contractor 1107 Lavender Shade Court, Houston, TX 77073 2020-10-02
1235744244 Dignity Services LLC Contractor 1001 N Medford Rd, Brownsville, TX 78521-8474 2020-09-15
1568076826 Hanaa Mohammed Contractor 6825 Huebner Rd # 680012, San Antonio, TX 78238-2108 2020-09-03
1609487107 Lateshna D Oliver Contractor 1714 7th St, Wichita Falls, TX 76301-4223 2020-08-10
1588282354 Tenzie May Contractor 5413 Mansel Ln, Fort Worth, TX 76134-1615 2020-07-08
1720605116 Physmedics LLC Contractor 10900 Research Blvd., Ste 160-c, #3, Austin, TX 78759-5718 2020-07-01
1609493444 Kizzey Ann Collins Contractor 810 Skyline Trl, Houston, TX 77019-2950 2020-06-27
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Competitor

Search similar providers

City EDGEWOOD
Zip Code 75117

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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