Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 1168625 | TX |
N | 2251S0007X | Physical Therapist - Sports | 1168625 | TX |
N | 2251X0800X | Physical Therapist - Orthopedic | 1168625 | TX |
NPI | 1154737740 |
---|---|
Provider Name | Michael Furtado |
First Address | Houston, TX 77018 |
Second Address | Houston, TX 77008-4111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2014 |
Last Update Date | 11/11/2015 |