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General NPI Number Information
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NPI Number | 1912104936
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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 | 07/02/2007
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 2550 HUNTER RD SUITE 1104
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City | SAN MARCOS
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State | TX
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Zip | 78666-5263
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Country | US
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Telephone | 512-396-5122
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Fax | 512-396-5123
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Provider Business Mailing Address
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Address Line | 8930 FOUR WINDS DR SUITE 109
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City | SAN ANTONIO
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State | TX
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Zip | 78239-1970
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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 | PRESIDENT
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Name | ANDREW BENNETT
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Credential | DPT
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 654940004
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License Number State | TX
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