# THE CONCUSSION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093161457
- **Authorized official:** RICHARD A EVANS DPT (MANAGER)
- **Authorized official phone:** (210) 692-7070

## Contact information

- **Practice address:** 2040 BABCOCK RD, STE 101, SAN ANTONIO, TX 78229-4425
- **Practice address phone:** (210) 692-7070
- **Practice address fax:** (210) 692-7079
- **Mailing address:** 2040 BABCOCK RD STE 303, SAN ANTONIO, TX 78229-4428
- **Mailing address phone:** (210) 375-6697
- **Mailing address fax:** (210) 375-6396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 05/04/2016