Provider Demographics
NPI:1316525629
Name:BABYOLOGY THERAPY CENTER, PLLC
Entity type:Organization
Organization Name:BABYOLOGY THERAPY CENTER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:713-433-7406
Mailing Address - Street 1:3422 BUSINESS CENTER DR.
Mailing Address - Street 2:STE. 106 #105
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1360
Mailing Address - Country:US
Mailing Address - Phone:713-433-7406
Mailing Address - Fax:
Practice Address - Street 1:2743 SMITH RANCH RD STE 701
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5204
Practice Address - Country:US
Practice Address - Phone:713-433-7406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty