| Dux2 Llc | |
|
808 S Ballard Ave Ste 140b, Wylie, TX 75098-4228 | |
| (214) 533-7865 | |
| Not Available |
| Full Name | Dux2 Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 808 S Ballard Ave Ste 140b, Wylie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629616974 | NPI | - | NPPES |
| 193200000X | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Dinah Salam |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275947301 PECOS PAC ID: 1052669538 Enrollment ID: I20180731000788 |
| Provider Name | Rudy A Seward |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275791998 PECOS PAC ID: 7214001650 Enrollment ID: I20180829000579 |
| Provider Name | Amy Jo Waldrip-miranda |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891251492 PECOS PAC ID: 3971843137 Enrollment ID: I20190326000778 |
| Provider Name | Myles Sandoval |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992265458 PECOS PAC ID: 4183967490 Enrollment ID: I20190529002027 |
| Provider Name | Jessica Stratton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801809199 PECOS PAC ID: 5890108526 Enrollment ID: I20210119001455 |
| Provider Name | Sandhya V Rao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144546391 PECOS PAC ID: 7012309545 Enrollment ID: I20220113001070 |
| Provider Name | Ubong A Edohoukwa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811649478 PECOS PAC ID: 9436543717 Enrollment ID: I20220302002264 |
| Provider Name | Jessica D Head |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013669670 PECOS PAC ID: 5193119394 Enrollment ID: I20220304001154 |
| Provider Name | Karissa L Dill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457009524 PECOS PAC ID: 5395131007 Enrollment ID: I20220406000667 |
| Provider Name | Rachel M Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629725437 PECOS PAC ID: 1557718160 Enrollment ID: I20231103000154 |
| Provider Name | Christian Ernani A Bato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811406432 PECOS PAC ID: 0749639540 Enrollment ID: I20231205002682 |
| Mailing Address | Practice Location Address |
|---|---|
| Dux2 Llc Po Box 1001, Wylie, TX 75098-1001 Ph: (214) 533-7865 | Dux2 Llc 808 S Ballard Ave Ste 140b, Wylie, TX 75098-4228 Ph: (214) 533-7865 |