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General NPI Number Information
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NPI Number | 1891962007
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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 | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 1218 ARION PKWY # 122
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2880
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Country | US
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Telephone | 210-447-9550
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Fax | 210-447-9552
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Provider Business Mailing Address
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Address Line | 1218 ARION PKWY # 122
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2880
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Country | US
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Telephone | 210-447-9550
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Fax | 210-447-9552
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JEANNE SMITH
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Credential | PT
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Telephone | 210-447-9550
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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 | 654940005
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License Number State | TX
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