| Bruno Martins Frazao, PT | |
|
14665 Midway Rd Ste 110, Addison, TX 75001-3185 | |
| (972) 382-9992 | |
| Not Available |
| Full Name | Bruno Martins Frazao |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 14665 Midway Rd Ste 110, Addison, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063082139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1345218 (Texas) | Primary |
| Provider Name | Ideal Physical Therapy Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruno Martins Frazao, PT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Bruno Martins Frazao, PT 14665 Midway Rd Ste 110, Addison, TX 75001-3185 Ph: (972) 382-9992 |
Jessica Alvarado Barrios, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 214-575-2999 | |
Nupur Maheshwari, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14665 Midway Rd Ste 110, Addison, TX 75001 Phone: 972-382-9732 | |
Holland Kitten, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 806-577-2878 | |
Robert David Stewart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17051 Dallas Pkwy, Suite 450, Addison, TX 75001 Phone: 469-416-5250 Fax: 469-416-5260 | |
Laura Chiu, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15800 Midway Rd, Addison, TX 75001 Phone: 615-778-4066 Fax: 615-778-9114 | |
Sally Sue Mallory, P.T; ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Bobbin Ln, Addison, TX 75001 Phone: 214-763-9173 |