Provider Demographics
NPI:1447997127
Name:TRICAS VIDAL, HECTOR JOSE (DPT, PHD)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:JOSE
Last Name:TRICAS VIDAL
Suffix:
Gender:
Credentials:DPT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 N LAMAR BLVD STE C110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1003
Mailing Address - Country:US
Mailing Address - Phone:512-200-4067
Mailing Address - Fax:737-285-3847
Practice Address - Street 1:5555 N LAMAR BLVD STE C110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1003
Practice Address - Country:US
Practice Address - Phone:512-200-4067
Practice Address - Fax:737-285-3847
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1359990225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist