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74 Regency Pkwy, Mansfield, TX 76063-7816 | |
(817) 419-6111 | |
(817) 701-4902 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 74 Regency Pkwy, Mansfield, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740440437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 189514 (Texas) | Primary |
Provider Name | Alan M Taylor |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1649272923 PECOS PAC ID: 8022911734 Enrollment ID: I20040129001171 |
Provider Name | Aimee Leann Whitfield |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497882757 PECOS PAC ID: 0749620433 Enrollment ID: I20240429001022 |
Mailing Address | Practice Location Address |
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74 Regency Pkwy, Mansfield, TX 76063-7816 Ph: (817) 419-6111 | 74 Regency Pkwy, Mansfield, TX 76063-7816 Ph: (817) 419-6111 |