Provider Demographics
NPI:1083417836
Name:PACOS PEDIATRIC PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:PACOS PEDIATRIC PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PUI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:281-310-1232
Mailing Address - Street 1:4501 CARTWRIGHT RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3537
Mailing Address - Country:US
Mailing Address - Phone:281-310-1232
Mailing Address - Fax:
Practice Address - Street 1:4501 CARTWRIGHT RD STE 104
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3537
Practice Address - Country:US
Practice Address - Phone:512-750-1628
Practice Address - Fax:281-306-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty