Susan G. Roberson

LBN: Physical Therapy Of Mansfield,Llc
Susan G. Roberson is an health care organization with primary practice located at 1580 Highway 287 N 1580 Hwy 287 N, Mansfield TX 76063-7593. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Physical Therapy Of Mansfield,Llc can be contacted via phone (817) 473-4684, or through Roberson, David Alan via phone (817) 473-4684.

Contact Information

Primary practice address
1580 Highway 287 N 1580 Hwy 287 N Mansfield TX 76063-7593
Fax: (817) 473-1170
Website:
Authorized official contact:
Name: Roberson, David Alan

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 658850000 Texas

Profile Details

NPI number 1124020979
LBN Legal business name Physical Therapy Of Mansfield,Llc
DBA Doing business as Susan G. Roberson
Authorized official Roberson, David Alan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 20th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124020979 NPPES
Texas Other 135244 PT LICENSE
Texas Other 612949000 PT LICENSE
Texas Other 604770000 PT LICENSE
Texas Other 658850000 PT LICENSE
Texas Other 752472481 PT LICENSE
Texas Other DG4667 PT LICENSE

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