Kim Polasek (NPI# 1871570119, PAC ID# 1153589015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1871570119 |
PAC ID by PECOS | 1153589015 |
Professional Enrollment ID | I20120223000116 |
Full Name | Kim Polasek |
Address |
202 Green Ave Taft TX 78390-2706 |
Gender | F |
Graduation Year | 1983 |
Primary Specialty | PHYSICAL THERAPY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
202 Green Ave, Taft, TX 78390-2706 |
Street Address |
202 GREEN AVE |
City | TAFT |
State | TX |
Zip | 78390-2706 |
City | TAFT |
Zip Code | 78390 |
Specialty | PHYSICAL THERAPY |
City + Specialty | TAFT + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.