MEDICARE: CHRISTRUN, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1356978787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTRUN, INC

Provider Business Mailing Address
First Line	:	5351 BREWSTER ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78233-5723
Country	:	US
Telephone Number	:	210-273-0508
Fax Number	:	210-817-8714

Provider Business Practice Location Address
First Line	:	16806 HIDDEN TIMBER WOOD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1427
Country	:	US
Telephone Number	:	210-273-0508
Fax Number	:	210-817-8714

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	HOLLY RAE HERNANDEZ
Credential	:	PT, DPT
Telephone Number	:	210-273-0508

Provider Enumeration Date	:	03/25/2020
Last Update Date	:	03/25/2020

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Directions to “CHRISTRUN, INC ” Practice Location

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