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General NPI Number Information
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NPI Number | 1356452411
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Entity Type | Organization
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Legal Business Name | TEXAS PHYSICAL THERAPY SPECIALISTS PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 1305 WONDER WORLD DR SUITE 100
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City | SAN MARCOS
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State | TX
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Zip | 78666-7546
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Country | US
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Telephone | 512-878-2835
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Fax | 512-878-2858
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Provider Business Mailing Address
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Address Line | 1305 WONDER WORLD DR SUITE 100
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City | SAN MARCOS
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State | TX
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Zip | 78666-7546
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Country | US
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Telephone | 512-878-2835
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Fax | 512-878-2858
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW C. BENNETT
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Credential | D.P.T.
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Telephone | 830-625-7310
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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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