Provider Demographics
NPI:1275368052
Name:POZOS, DAGOBERTO JR (PT, DPT)
Entity type:Individual
Prefix:
First Name:DAGOBERTO
Middle Name:
Last Name:POZOS
Suffix:JR
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 HARTMAN RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76119-7420
Mailing Address - Country:US
Mailing Address - Phone:682-407-7470
Mailing Address - Fax:
Practice Address - Street 1:8651 JOHN T WHITE RD STE 121
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76120-2766
Practice Address - Country:US
Practice Address - Phone:817-542-0714
Practice Address - Fax:817-542-0734
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1396632251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic