PEDI SPOT LLC NPI 1053510974

NPI Information

NPI: 1053510974
Provider Name: PEDI SPOT LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
4801 TROUP HWY
SUITE 800
TYLER, TX
ZIP 75703
Phone: (903) 939-2800
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PEDI SPOT LLC is a rehabilitation clinic center in Tyler, TX. PEDI SPOT LLC NPI is 1053510974. The provider is registered as an organization entity type.

The provider's business location address is:

4801 TROUP HWY
SUITE 800
TYLER, TX
ZIP 75703-356
Phone: (903) 939-2800
Fax: (903) 581-7057

The provider's authorized official is Neil E. Casey .
The authorized official title is President & Ceo and has the following contact phone number (972) 596-7700.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 2/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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