Provider Demographics
NPI:1538788476
Name:MOVEMENT EVOLUTION, LLC
Entity type:Organization
Organization Name:MOVEMENT EVOLUTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEEB
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALFE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:713-298-7332
Mailing Address - Street 1:2033 S GESSNER RD APT 4209
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1174
Mailing Address - Country:US
Mailing Address - Phone:713-298-7332
Mailing Address - Fax:
Practice Address - Street 1:16698 HOUSE HAHL RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5357
Practice Address - Country:US
Practice Address - Phone:713-298-7332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy