| Carolina Affonso Urbano, | |
|
3000 Fm 407 E Ste 500, Bartonville, TX 76226-9300 | |
| (940) 448-2007 | |
| Not Available |
| Full Name | Carolina Affonso Urbano |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3000 Fm 407 E Ste 500, Bartonville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063122695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1369899 (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 |
|---|---|
| Carolina Affonso Urbano, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Carolina Affonso Urbano, 3000 Fm 407 E Ste 500, Bartonville, TX 76226-9300 Ph: (940) 448-2007 |
Shi Qing Ong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 972-979-6577 | |
Elizabeth Azpeitia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fm 407 E Ste 500, Bartonville, TX 76226 Phone: 940-448-2007 | |
Tracy Lynne Egelin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fm 407 Suite 500, Bartonville, TX 76226 Phone: 940-448-2007 Fax: 940-448-2531 |