| Jeremy Grisel, PT | |
|
211 S Timberland Dr, Lufkin, TX 75901-4065 | |
| (936) 632-5511 | |
| (936) 632-5633 |
| Full Name | Jeremy Grisel |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 211 S Timberland Dr, Lufkin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497776009 | NPI | - | NPPES |
| 8T0598 | Other | TX | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | TX1143659 (Texas) | Primary |
| Provider Name | The Ent & Allergy Centers Of Texas, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144470873 PECOS PAC ID: 4385709054 Enrollment ID: O20090212000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Grisel, PT 211 S Timberland Dr, Lufkin, TX 75901-4065 Ph: (936) 632-5511 | Jeremy Grisel, PT 211 S Timberland Dr, Lufkin, TX 75901-4065 Ph: (936) 632-5511 |
Shane Adam Myatt, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-2107 Fax: 936-632-2108 | |
Melanie Morgan Sanders, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-3346 | |
Jami Ann Cooper, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 N John Redditt Dr Ste 1, Lufkin, TX 75904 Phone: 936-899-5325 | |
Rey Angelo Bibera, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-2107 | |
Maria Victoria Cabrera Opilas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 N John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-2107 Fax: 936-632-2108 | |
Virginia B Spore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1302 Tom Temple Dr, Lufkin, TX 75904 Phone: 936-634-0490 | |
Gary Mcgiven, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1302 Tom Temple Dr, Lufkin, TX 75904 Phone: 936-634-0490 |