Mora, Ian W

Mora, Ian W is an individual health care provider with primary practice located at 1401 William D Tate Ave Ste 300 , Grapevine TX 76051-4024. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mora, Ian W can be contacted via phone (817) 527-3377.

Contact Information

Primary practice address
1401 William D Tate Ave Ste 300 Grapevine TX 76051-4024
Phone: (817) 527-3377
Fax: (817) 391-8429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Texas

Profile Details

NPI number 1124306584
LBN Legal business name Mora, Ian W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Mar 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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