Provider Demographics
NPI:1124617006
Name:HAGER, NATALIE ANN (DPT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:HAGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20403 UNIVERSITY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4977
Mailing Address - Country:US
Mailing Address - Phone:281-325-0188
Mailing Address - Fax:
Practice Address - Street 1:350 MERCEDES ST
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76126-2593
Practice Address - Country:US
Practice Address - Phone:817-717-5390
Practice Address - Fax:817-717-2130
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1323531225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist