Provider Demographics
NPI:1487998498
Name:CAREPATH THERAPY SERVICES LLC
Entity type:Organization
Organization Name:CAREPATH THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:O
Authorized Official - Last Name:NWORA
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN
Authorized Official - Phone:817-472-4344
Mailing Address - Street 1:720 W. NATHAN LOWE ROAD
Mailing Address - Street 2:#150
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017
Mailing Address - Country:US
Mailing Address - Phone:817-472-4344
Mailing Address - Fax:817-472-4341
Practice Address - Street 1:720 W. NATHAN LOWE RD,
Practice Address - Street 2:#150
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017
Practice Address - Country:US
Practice Address - Phone:817-472-4344
Practice Address - Fax:817-472-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1195461261QP2000X, 261QR0400X
TX719954261QP2300X
TX261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1195461OtherLICENSE