| Mrs Laila Breana Gathing, DPT | |
|
800 College Pkwy, Lewisville, TX 75077-3503 | |
| (972) 420-8543 | |
| Not Available |
| Full Name | Mrs Laila Breana Gathing |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 800 College Pkwy, Lewisville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245713858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1363085 (Texas) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Laila Breana Gathing, DPT 800 College Pkwy, Lewisville, TX 75077-3503 Ph: (972) 420-8543 | Mrs Laila Breana Gathing, DPT 800 College Pkwy, Lewisville, TX 75077-3503 Ph: (972) 420-8543 |
Cathy Faye Ruelas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Valley Pkwy, Ste 300, Lewisville, TX 75067 Phone: 972-353-5437 | |
Mrs. Cindy Dorazio Goetz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 966 N Garden Ridge, Suite 530, Lewisville, TX 75077 Phone: 972-420-6605 Fax: 972-436-2770 | |
Namrata Prakash Keswani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1301 Justin Rd Ste 206, Lewisville, TX 75077 Phone: 972-317-7775 | |
Mr. William M Herritage Ii, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 724 W Main, Ste 180, Lewisville, TX 75067 Phone: 972-434-6024 Fax: 972-434-2784 | |
Ajay Agrawal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 Wiltshire Blvd, Lewisville, TX 75056 Phone: 760-532-7808 | |
Lauren Deems, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Sir Wade Way, Lewisville, TX 75056 Phone: 214-213-0899 | |
Mr. Scott Frederick Mcgough, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 724 W Main St Ste 180, Lewisville, TX 75067 Phone: 972-434-6024 Fax: 972-434-2784 |