Paul James Hendricks in Lakeway - Sports
Paul James Hendricks - NPI 1053470567
Paul James Hendricks is a Sports in Lakeway, Texas. Paul James Hendricks practices all healthcare services and medical treatments related to Sports. The NPI Number for Paul James Hendricks is 1053470567. The last update date is 2016-06-29.
Paul James Hendricks's current location address is 505 Copperleaf Rd, Lakeway, Texas. You can contact this provider via phone number 5122618699 and fax number 5122612237. The mailing address for Paul James Hendricks is 505 Copperleaf Rd, Lakeway, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul James Hendricks |
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Address | 505 Copperleaf Rd, Lakeway, Texas |
Phone Number | 5122618699 |
Fax Number | 5122612237 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1053470567 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2016-06-29 |
Provider Mailing Address Detail
Address | 505 Copperleaf Rd |
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City | Lakeway |
State | Texas (TX) |
Post Code | 787343840 |
Phone Number | 5122618699 |
Fax Number | 5122612237 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | 1111524 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1111524 | TX | STATE PT LICENSE |
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What is the Paul James Hendricks's 1053470567?
The Paul James Hendricks's NPI (National Provider Identifier) Number is 1053470567. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul James Hendricks located?
The Paul James Hendricks is located at 505 Copperleaf Rd, Lakeway, TX 787343840.
What is Paul James Hendricks's area of expertise and its corresponding taxonomy classification?
The Paul James Hendricks's field of specialization is Sports, and it falls under the taxonomy code 2251S0007X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1053470567 to Paul James Hendricks?
The Paul James Hendricks received its 1053470567 assignment from the Centers for Medicare & Medicaid Services on 2006-12-08.
When was the Paul James Hendricks's information last updated?
The Paul James Hendricks's information was last updated on 2016-06-29.