Eileen Bermudez, PT
Individual provider Active NPI Physical Therapist · Fulshear, TX
NPI 1053950394 · NPPES record last updated Jan 3, 2020
Key facts
- NPI
- 1053950394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 4415 Westerdale Dr
Fulshear, TX 77441-4254 - Phone
- (832) 867-6033
- NPI assigned
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
4415 Westerdale Dr
Fulshear, TX 77441-4254
Mailing address
4415 Westerdale Dr
Fulshear, TX 77441-4254
Phone (832) 867-6033
Other providers in Fulshear, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2020. 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.