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1326152943 NPI number — DAVID SIDNEY ELSWOOD L.P.T.

NPI Number: 1326152943
Health Care Provider/Practitioner: DAVID SIDNEY ELSWOOD L.P.T.

Information about “1326152943” NPI (DAVID SIDNEY ELSWOOD L.P.T.) exists in 1326152943 in HTML format HTML  |  1326152943 in plain Text format TXT  |  1326152943 in PDF (Portable Document Format) PDF  |  1326152943 in an XML format XML  formats.

NPI Number : 1326152943 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326152943",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ELSWOOD",
    "FirstName": "DAVID",
    "MiddleName": "SIDNEY",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "L.P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1045 CENTRAL PARKWAY NORTH",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78232-5024",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-541-4500",
    "MailingAddressFaxNumber": "210-541-4508",
    "FirstLinePracticeLocationAddress": "3453 IH 35 N",
    "SecondLinePracticeLocationAddress": "SUITE 207B",
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78219-2333",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-568-0508",
    "PracticeLocationAddressFaxNumber": "210-588-0510",
    "EnumerationDate": "08/19/2006",
    "LastUpdateDate": "02/04/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "1032746",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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