Provider Demographics
NPI:1730372962
Name:METROPOLITAN PHYSICAL THERAPY
Entity type:Organization
Organization Name:METROPOLITAN PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT IN-CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:ISIDRO
Authorized Official - Last Name:BAUTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:713-691-0432
Mailing Address - Street 1:7333 NORTH FWY
Mailing Address - Street 2:SUITE # 290
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-1300
Mailing Address - Country:US
Mailing Address - Phone:713-691-0432
Mailing Address - Fax:713-691-0527
Practice Address - Street 1:7333 NORTH FWY
Practice Address - Street 2:SUITE # 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1300
Practice Address - Country:US
Practice Address - Phone:713-691-0432
Practice Address - Fax:713-691-0527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy