Doctor Name: | CLINTON BUOL |
NPI Number: | 1699167171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3116730 |
Business Practice Address: | 2817 S Mayhill Rd 100a Denton, TX - 762085966 |
Business Phone Number: | 9402222226 |
Business Fax Number: | 9402182035 |
Mailing Address: | 2817 S Mayhill Rd, 100a DENTON |
State: | TX |
Postal Code: | 762085966 |
Phone Number: | 9402222226 |
Fax Number: | 9402182035 |
NPI Enumeration Date: | 02/20/2015 |
NPI Last Update Date: | 02/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3116730 |
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 |