Basic Information
| Provider Information | |||||||||
| NPI: | 1508123878 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CONTEMPO THERAPEUTICS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2610 SYLVAN DR | ||||||||
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| City: | GARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750403280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4693605558 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5550 LBJ FWY | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752406217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727920204 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2012 | ||||||||
| LastUpdateDate: | 04/11/2012 | ||||||||
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| AuthorizedOfficialLastName: | VO | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | PATRICK | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4693605558 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DPT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1163858 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 1163858 | 01 | TX | PHYSICAL THERAPY | OTHER |