Crystal Beth Lane in Round Rock - Pediatrics
Crystal Beth Lane - NPI 1730364753
Crystal Beth Lane is a Pediatrics in Round Rock, Texas. Crystal Beth Lane practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Crystal Beth Lane is 1730364753. The last update date is 2008-02-27.
Crystal Beth Lane's current location address is 401 Teravista Pkwy Apt 821, Round Rock, Texas. You can contact this provider via phone number 3258643633. The mailing address for Crystal Beth Lane is 401 Teravista Pkwy Apt 821, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Beth Lane |
|---|---|
| Address | 401 Teravista Pkwy Apt 821, Round Rock, Texas |
| Phone Number | 3258643633 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT, DPT |
NPI Number Detail
| NPI Number | 1730364753 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 401 Teravista Pkwy Apt 821 |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 786651296 |
| Phone Number | 3258643633 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1180006 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identification code assigned to Crystal Beth Lane by the Centers for Medicare & Medicaid Services?
The Crystal Beth Lane has been issued the NPI (National Provider Identifier) 1730364753, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Crystal Beth Lane's facilities are geographically located?
The facilities of Crystal Beth Lane are physically situated at the following location: 401 Teravista Pkwy Apt 821, Round Rock, TX, 786651296.
What is Crystal Beth Lane's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Crystal Beth Lane is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730364753 to Crystal Beth Lane?
The Crystal Beth Lane received its 1730364753 assignment from the Centers for Medicare & Medicaid Services on 2008-01-09.
As of what date were the Crystal Beth Lane's details last updated?
The information pertaining to the Crystal Beth Lane, including its address, specialty, and other details, was most recently updated on 2008-02-27.