1831491273 NPI number — HEALTHPOINT PHYSICAL THERAPY PLLC

Table of content: DR. DAVID JOHN CONNELLY D.D.S. (NPI 1205033644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831491273 NPI number — HEALTHPOINT PHYSICAL THERAPY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTHPOINT PHYSICAL THERAPY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831491273
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5119 S MCCOLL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDINBURG
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78539-8278
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-787-0962
Provider Business Mailing Address Fax Number:
956-787-1564

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5119 S MCCOLL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDINBURG
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78539-8278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-787-0962
Provider Business Practice Location Address Fax Number:
956-787-1564
Provider Enumeration Date:
11/17/2010

Additional Information

Authorized Official

Authorized Official Last Name:
JAVELLANA
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
K
Authorized Official Title or Position:
ADM
Authorized Official Telephone Number:
956-787-0962

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  1107373 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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