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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | Other Service Providers |
Street Address |
1738 VZCR 3103 |
City | EDGEWOOD |
State | TX |
Zip Code | 75117-5020 |
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 |
Find all providers in zip 75117 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144649336 | Troy Michael Englehart II | Contractor | 1401 Pulaski Higjway, F, Edgewood, MD 21009 | 2014-04-15 |
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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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.