Provider Demographics
NPI:1528174158
Name:AGRAPIDIS, JERASIMOS
Entity type:Individual
Prefix:
First Name:JERASIMOS
Middle Name:
Last Name:AGRAPIDIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8934 CONCHO ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-6738
Mailing Address - Country:US
Mailing Address - Phone:713-778-9252
Mailing Address - Fax:
Practice Address - Street 1:810 S MASON RD
Practice Address - Street 2:STE 101
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3895
Practice Address - Country:US
Practice Address - Phone:281-392-7811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
TX11544802251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1154480OtherLICENSE #