Provider Demographics
NPI:1174859631
Name:US PT TEXAS INC
Entity type:Organization
Organization Name:US PT TEXAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:CORRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:7065 AIRWAYS BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-5873
Mailing Address - Country:US
Mailing Address - Phone:662-349-8997
Mailing Address - Fax:662-349-8987
Practice Address - Street 1:7065 AIRWAYS BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-5873
Practice Address - Country:US
Practice Address - Phone:662-349-8997
Practice Address - Fax:662-349-8987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty