| Carlo Clement Brual, | |
|
9931 Beautyberry, Conroe, TX 77385-5607 | |
| (508) 808-3771 | |
| (508) 863-9737 |
| Full Name | Carlo Clement Brual |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 9931 Beautyberry, Conroe, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831986975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 18106 (Massachusetts) | Secondary |
| 225100000X | Physical Therapist | 1189931 (Texas) | Primary |
| Provider Name | Baylor College Of Medicine |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
| Provider Name | Texas Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlo Clement Brual, 9931 Beautyberry, Conroe, TX 77385-5607 Ph: (508) 863-9737 | Carlo Clement Brual, 9931 Beautyberry, Conroe, TX 77385-5607 Ph: (508) 808-3771 |
Apt Enterprises, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 River Pointe Dr, Suite 130, Conroe, TX 77304 Phone: 936-756-0086 Fax: 936-756-0085 | |
Stephen Daniel Hollek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1150 N Loop 336 W, Conroe, TX 77301 Phone: 936-494-3777 Fax: 936-494-3788 | |
Madison Nicole Secrest, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1803 W White Oak Ter Ste C, Conroe, TX 77304 Phone: 936-494-1211 | |
Mark Anthony Walker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4015 Interstate 45 N, Conroe, TX 77304 Phone: 936-522-4731 Fax: 936-522-4737 | |
Sebastian Lozano, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4015 Interstate 45 N Ste 120, Conroe, TX 77304 Phone: 832-477-6686 | |
Margaret Wurdeman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 Longmire Rd, Conroe, TX 77304 Phone: 877-929-8875 | |
Vanessa Leigh Servantes, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4015 Interstate 45 N, Conroe, TX 77304 Phone: 936-522-4731 Fax: 936-522-4737 |