Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTH TEXAS SPORTS MEDICINE INC
Active
Organization
SOUTH TEXAS SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R ZYLKS PH.D (PRESIDENT)
(361) 728-4288
Entity
Organization
Contact information
Practice address
203 CEDAR DR, PORTLAND, TX 78374-2900
(361) 643-3993
(361) 687-2465
Mailing address
5530 LIPES BLVD, CORPUS CHRISTI, TX 78413-5511
(361) 993-9494
(361) 993-4477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019BG
BLUE CROSS BLUE SHIELD
TX
05
—
094468801
—
TX
05
—
094468802
—
TX
01
—
177212100
DEPARTMENT OF LABOR
—
Enumeration date
07/06/2006
Last updated
03/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up