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SAN ANTONIO, TX
NPI1285160853
Entity TypeOrganization
Authorized ContactDIANA HORTON
Chief Nurse
281-684-5412
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: TX  637553)
Additional Taxonomies261QP3300X Clinic/Center, Pain
(Licence: TX  637553)
305R00000X Preferred Provider Organization
(Licence: TX  637553)
Enumeration Date2017-05-02
Last Update Date2017-05-02
Business Address
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7219 GLEN ELLEN BAY
SAN ANTONIO, TX 78244-1757
Phone number: 281-684-5412
Mailing Address
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7219 GLEN ELLEN BAY
SAN ANTONIO, TX 78244-1757
Phone number: 281-684-5412