Robert Bailey Culp
Individual provider Active NPI Physical Therapist · Longview, TX
NPI 1003661661 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1003661661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1182341 (TX)
- Practice address
- 601 Hollybrook Dr
Longview, TX 75605-2418 - Phone
- (903) 758-8888
- NPI assigned
- Apr 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1182341 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1182341 | TX | Yes |
Addresses
Primary practice location
601 Hollybrook Dr
Longview, TX 75605-2418
Mailing address
601 Hollybrook Dr
Longview, TX 75605-2418
Phone (903) 758-8888
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.