1962295519 NPI number — KIDS FIRST THERAPY CENTER INC.

Table of content: THOMAS HAROLD MCGOWAN MED, ATC, LAT (NPI 1124504352)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962295519 NPI number — KIDS FIRST THERAPY CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KIDS FIRST THERAPY CENTER INC.
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:
1962295519
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8822 MUGWORT DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77469-2485
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-318-0594
Provider Business Mailing Address Fax Number:
407-933-1224

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8822 MUGWORT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77469-2485
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-318-0594
Provider Business Practice Location Address Fax Number:
407-933-1224
Provider Enumeration Date:
05/27/2025

Additional Information

Authorized Official

Authorized Official Last Name:
FOURNIL
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
321-318-0594

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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