Basic Information
| Provider Information | |||||||||
| NPI: | 1992901532 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FRAZIER PHYSICAL THERAPY LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1162 HWY 327 E | ||||||||
| Address2: | |||||||||
| City: | SILSBEE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77656 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4093852500 | ||||||||
| FaxNumber: | 4093852502 | ||||||||
| Practice Location | |||||||||
| Address1: | 1162 HWY 327 E | ||||||||
| Address2: | |||||||||
| City: | SILSBEE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77656 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4093852500 | ||||||||
| FaxNumber: | 4093852502 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2007 | ||||||||
| LastUpdateDate: | 08/25/2021 | ||||||||
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| AuthorizedOfficialLastName: | ESPARZA | ||||||||
| AuthorizedOfficialFirstName: | FRANCISCO | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | LIMITED PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 4093852500 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | P.T. | ||||||||
| NPICertificationDate: | 08/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.