| Mrs Phyllis J Lesak, PT | |
|
2100 Regional Medical Dr, Wharton, TX 77488-9719 | |
| (979) 532-1700 | |
| Not Available |
| Full Name | Mrs Phyllis J Lesak |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2100 Regional Medical Dr, Wharton, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407923204 | NPI | - | NPPES |
| 307400702 | Medicaid | TX | |
| 874T13 | Other | TX | BC/BS PROVIDER # |
| 874T13 | Other | TX | BC/BS # |
| PO1206491 | Other | TX | RAILROAD MEDICARE # |
| P00782885 | Other | TX | RAILROAD MEDICARE # |
| 1028967 | Other | TX | P.T. LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1028967 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Phyllis J Lesak, PT 2100 Regional Medical Dr, Wharton, TX 77488-9719 Ph: (979) 532-1700 | Mrs Phyllis J Lesak, PT 2100 Regional Medical Dr, Wharton, TX 77488-9719 Ph: (979) 532-1700 |
Mrs. Colleen Ann Rasmussen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Regional Medical Dr, Wharton, TX 77488 Phone: 979-532-1700 |