Healthcare Provider Details

I. General information

NPI: 1578490751
Provider Name (Legal Business Name): VICTORIA SERNA DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 CORONADO BLVD
UNIVERSAL CITY TX
78148-3228
US

IV. Provider business mailing address

970 CORONADO BLVD
UNIVERSAL CITY TX
78148-3228
US

V. Phone/Fax

Practice location:
  • Phone: 210-656-7953
  • Fax: 210-656-7957
Mailing address:
  • Phone: 210-656-7953
  • Fax: 210-656-7957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1385961
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: