Provider Demographics
NPI:1992709554
Name:HARIBHAI, PARUL K (PT)
Entity type:Individual
Prefix:
First Name:PARUL
Middle Name:K
Last Name:HARIBHAI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 E SCHUSTER AVE STE 9A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4360
Mailing Address - Country:US
Mailing Address - Phone:915-444-5200
Mailing Address - Fax:915-444-5201
Practice Address - Street 1:615 E SCHUSTER AVE STE 9A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4360
Practice Address - Country:US
Practice Address - Phone:915-444-5200
Practice Address - Fax:915-444-5200
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1123065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0877805-01Medicaid
TX653057Medicare ID - Type Unspecified