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General NPI Number Information
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NPI Number | 1689051104
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Entity Type | Organization
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Legal Business Name | TEXAS PHYSICAL THERAPY SPECIALISTS
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 3303 ROGERS RD STE 220
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City | SAN ANTONIO
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State | TX
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Zip | 78251-3688
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Country | US
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Telephone | 210-585-4270
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Fax | 210-585-4271
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Provider Business Mailing Address
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Address Line | 7505 N LOOP 1604 E STE 101
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City | LIVE OAK
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State | TX
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Zip | 78233-2604
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Country | US
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Telephone | 888-590-4002
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Fax | 210-590-4585
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | SHYLA BURRELL
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Credential |
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Telephone | 888-590-4002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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