Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | 1269553 | TX |
Y | 2251X0800X | Physical Therapist - Orthopedic | 1269553 | TX |
NPI | 1033742689 |
---|---|
Provider Name | Steven Removcik |
First Address | Sugar Land, TX 77478-5016 |
Second Address | Sugar Land, TX 77478-5016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2020 |
Last Update Date | 03/08/2020 |