Aegis Group Practice LLC
Physical Therapist in Humble, TX. Organization (NPI-2).
NPI number1740965516
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1740965516
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2023
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
6450 Kings Park WayHumble, TX 77346-4028
Phone 800-444-4684 · Fax 479-478-2852
Mailing address
2601 Network Blvd Ste 102Frisco, TX 75034-9092
Phone 972-372-6779 · Fax 479-668-0872
Authorized official
Tracy McCall
Credentialing
4792016091
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