Provider Demographics
NPI:1366922189
Name:SINGH, KAJAL
Entity type:Individual
Prefix:
First Name:KAJAL
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6060 FAIRMONT PKWY APT 10305
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-4079
Mailing Address - Country:US
Mailing Address - Phone:716-341-8762
Mailing Address - Fax:
Practice Address - Street 1:HILLVIEW SKILLED CARE
Practice Address - Street 2:1110 RICE STREET
Practice Address - City:GOLDTHWAITE
Practice Address - State:TX
Practice Address - Zip Code:76844
Practice Address - Country:US
Practice Address - Phone:325-648-2247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2136658225200000X
TX1329195225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant