Provider Demographics
NPI:1174918825
Name:HOUSTON THERAPY CONSULT PLLC
Entity type:Organization
Organization Name:HOUSTON THERAPY CONSULT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMKPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-784-2781
Mailing Address - Street 1:3600 S GESSNER RD STE 215
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5150
Mailing Address - Country:US
Mailing Address - Phone:713-784-2781
Mailing Address - Fax:713-784-2780
Practice Address - Street 1:3600 S GESSNER RD STE 215
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5150
Practice Address - Country:US
Practice Address - Phone:713-784-2781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0400X
TX16674251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation