Basic Information
| Provider Information | |||||||||
| NPI: | 1538581152 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | POST-ACUTE PHYSICIANS OF WASHINGTON PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1776 WOODSTEAD CT | ||||||||
| Address2: | SUITE 208 | ||||||||
| City: | THE WOODLANDS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773801480 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8777497428 | ||||||||
| FaxNumber: | 2817243100 | ||||||||
| Practice Location | |||||||||
| Address1: | 1334 TERRY AVE | ||||||||
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| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981012747 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2066822661 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2014 | ||||||||
| LastUpdateDate: | 04/10/2020 | ||||||||
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| AuthorizedOfficialLastName: | VARGAS | ||||||||
| AuthorizedOfficialFirstName: | JOSE | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8777497428 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 04/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | MD60413224 | WA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.