Robert Lee

Individual provider Active NPI Pediatric Physical Therapist · Bishop, TX

NPI 1982804829 · NPPES record last updated Jul 19, 2007

Key facts

NPI
1982804829
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
1078962 (TX)
Practice address
945 County Road 77
Bishop, TX 78343-5099
Phone
(361) 522-7989
Fax
(361) 584-2499
NPI assigned
Jul 19, 2007
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1078962 TX Yes

Addresses

Primary practice location

945 County Road 77
Bishop, TX 78343-5099

Mailing address

PO Box 279
Bishop, TX 78343-0279
Phone (360) 522-7989

Other providers in Bishop, TX

All providers in Bishop, TX · Pediatric Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.