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NPI Code Detail

MEDICARE: CHRISTOPHER JOEL LUPER PT

MEDICARE:   CHRISTOPHER JOEL LUPER  PT
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
1225100000XPhysical Therapist1218865TX

General Provider Information

NPI Number : 1649529710
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER JOEL LUPER PT
Provider Business Mailing Address
First Line : 12952 BANDERA RD
Second Line : SUITE 107
City : HELOTES
State : TX
Zip : 78023-4689
Country : US
Telephone Number : 210-372-9831
Fax Number : 210-598-0432
Provider Business Practice Location Address
First Line : 10555 CULEBRA RD
Second Line : SUITE 103
City : SAN ANTONIO
State : TX
Zip : 78251-3666
Country : US
Telephone Number : 210-888-6042
Fax Number : 210-888-6045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 09/05/2012

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Directions to “ CHRISTOPHER JOEL LUPER PT” Practice Location

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