Doctor Name: | ERICH LEE HARTZOG |
NPI Number: | 1194931220 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1145993 |
Business Practice Address: | 17510 W Grand Parkway South 100 Sugar Land, TX - 77479 |
Business Phone Number: | 2817255895 |
Business Fax Number: | |
Mailing Address: | 602 Pecan St, WHARTON |
State: | TX |
Postal Code: | 774884012 |
Phone Number: | 2817231184 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1145993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |