Provider Demographics
NPI:1699063545
Name:SINGH, TEJINDER (PT)
Entity type:Individual
Prefix:
First Name:TEJINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11615 ANGUS RD STE 109
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4006
Mailing Address - Country:US
Mailing Address - Phone:512-521-9593
Mailing Address - Fax:512-277-7105
Practice Address - Street 1:11615 ANGUS RD STE 109
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4006
Practice Address - Country:US
Practice Address - Phone:512-521-9593
Practice Address - Fax:512-277-7105
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1203168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist