Provider Demographics
NPI: | 1427610468 |
---|---|
Name: | PT CONCEPTS OF ALLEN, LLC |
Entity type: | Organization |
Organization Name: | PT CONCEPTS OF ALLEN, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | AUTHORIZED OFFICIAL |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PUNEET |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ARORA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 469-294-4292 |
Mailing Address - Street 1: | 610 S WATTERS RD STE 100 |
Mailing Address - Street 2: | |
Mailing Address - City: | ALLEN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75013-5008 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 469-294-4292 |
Mailing Address - Fax: | 214-377-6243 |
Practice Address - Street 1: | 610 S WATTERS RD STE 100 |
Practice Address - Street 2: | |
Practice Address - City: | ALLEN |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75013-5008 |
Practice Address - Country: | US |
Practice Address - Phone: | 469-294-4292 |
Practice Address - Fax: | 214-377-6243 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-06-30 |
Last Update Date: | 2019-06-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty |