| Mr Christofferson Villareal Mendoza, PT, DPT | |
|
2055 W Grande Blvd, Tyler, TX 75703-0526 | |
| (903) 534-0449 | |
| Not Available |
| Full Name | Mr Christofferson Villareal Mendoza |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2055 W Grande Blvd, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588879290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1170633 (Texas) | Primary |
| Provider Name | Synergy Care Southeast, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
| Provider Name | Orthopaedic And Neurological Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20200330000243 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christofferson Villareal Mendoza, PT, DPT 127 W Broad St Ste 850, Lake Charles, LA 70601-4394 Ph: (337) 310-8500 | Mr Christofferson Villareal Mendoza, PT, DPT 2055 W Grande Blvd, Tyler, TX 75703-0526 Ph: (903) 534-0449 |
Cynthia Ann Manes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S Broadway Ave, 500, Tyler, TX 75702 Phone: 903-245-6632 Fax: 903-531-2451 | |
Colette K Boyd, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2323 W Front St, Tyler, TX 75702 Phone: 903-597-1351 Fax: 903-535-7386 | |
Mr. Terry Alan Bunker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5407 New Copeland Rd, Suite 100, Tyler, TX 75703 Phone: 903-630-7204 Fax: 903-630-7205 | |
Mark Roland Saczek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-536-3123 Fax: 903-596-3122 | |
Mr. Timothy A Lyke, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-596-3151 Fax: 903-569-0110 | |
Joanna Marie Chan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 Persimmon Dr, Tyler, TX 75707 Phone: 903-253-8318 | |
Stormy Case, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001 |