Curtis Leon Pillow Jr., PTA
Individual provider Active NPI Physical Therapy Assistant · San Augustine, TX
NPI 1295215010 · NPPES record last updated Aug 21, 2018
Key facts
- NPI
- 1295215010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2090885 (TX)
- Practice address
- 1203 FM 1277
San Augustine, TX 75972-1635 - Phone
- (936) 275-3412
- NPI assigned
- Aug 21, 2018
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2090885 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2090885 | TX | Yes |
Addresses
Primary practice location
1203 FM 1277
San Augustine, TX 75972-1635
Mailing address
3601 Buckingham Dr
Nacogdoches, TX 75965-5821
Phone (936) 645-5448
Other providers in San Augustine, TX
- Michael Mouton
- Jodee Naples
- John H Oglesbee III
- Sara Oglesbee
- Sharon Kay Oglesbee
- Raishaun Evett Randle
- Shea V Reese
- Republic of Texas Inpatient Services PLLC
- San Augustine City County Hospital District
- San Augustine Family Practice PA
All providers in San Augustine, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2018. 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.