Individual ProviderLucia EsparzaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6601 Montana Ave, Suite G & H, El Paso, TX 79925-2155(915) 838-7604PECOS EnrollmentBased on the most recent information from CMS, provider Lucia Esparza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1740584978Provider TypeIndividualFull NameEsparza, LuciaCredentialPTGenderFemaleSole ProprietorYesEnumeration Date1/3/2011Last Updated1/3/2011Contact InformationPractice LocationPractice Address6601 Montana Ave, Suite G & H, El Paso, TX 79925-2155Phone(915) 838-7604Fax(915) 772-4633Mailing LocationMailing Address6601 Montana Ave, Suite G & H, El Paso, TX 79925-2155Phone(915) 838-7604Fax(915) 772-4633Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1202488TexasProvider IdentifiersIDDescriptionIssuerID207164901DescriptionMedicaidIssuerUnlistedTexasID149984001DescriptionMedicaidIssuerUnlistedTexas