Chronic Disease Management Centers of Texas

NPI #1013424514 in Red Oak, Texas

Provider Information

NPI Number: 1013424514
Entity Type: Organization
Organization Name: Chronic Disease Management Centers of Texas
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 5, 2018
Last Updated: Jan 5, 2018

Practice Location

Address: 600 METHODIST ST APT 2120
City: Red Oak
State: Texas
ZIP Code: 75154-4262
Phone: (469) 552-9911

Authorized Official

Name: THERESSIA LYDON POLK
Title: CHIEF EXECUTIVE OFFICER
Phone: (214) 729-8750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Nursing Care	251J00000X
Community/Behavioral Health	251S00000X
Early Intervention Provider Agency	252Y00000X
Clinic/Center	261Q00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Non-emergency Medical Transport (VAN)	343900000X
Physical Therapy Assistant	225200000X	Primary

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