Provider Demographics
NPI:1043341233
Name:CHINCARINI, GINO (PT)
Entity type:Individual
Prefix:MR
First Name:GINO
Middle Name:
Last Name:CHINCARINI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2598 SOUTHGATE ST
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-8809
Mailing Address - Country:US
Mailing Address - Phone:361-358-2806
Mailing Address - Fax:
Practice Address - Street 1:1500 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5312
Practice Address - Country:US
Practice Address - Phone:361-354-2177
Practice Address - Fax:361-354-2148
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1092476225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist