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General NPI Number Information
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NPI Number | 1073865580
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Entity Type | Organization
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Legal Business Name | PHYSIOSPORTS THERAPY, PLLC
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 931 S MCCOLL RD STE B
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City | EDINBURG
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State | TX
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Zip | 78539-2936
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Country | US
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Telephone | 956-369-6693
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Fax |
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Provider Business Mailing Address
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Address Line | 931 S MCCOLL RD STE B
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City | EDINBURG
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State | TX
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Zip | 78539-2936
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Country | US
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Telephone | 956-329-1100
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Fax | 866-332-4835
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. JOSE R CADENA JR.
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Credential |
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Telephone | 956-369-6693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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