# COMAL PHYSICAL MEDICINE AND REHABILITATION PLLC

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

## Provider details

- **NPI number:** 1356725964
- **Authorized official:** DR. JUSTIN FREDERICK BLACK D.O. (ORGANIZER)
- **Authorized official phone:** (817) 653-0788

## Contact information

- **Practice address:** 2041 SUNDANCE PKWY, NEW BRAUNFELS, TX 78130-2779
- **Practice address phone:** (830) 625-6700
- **Mailing address:** 301 MAIN PLZ \# 170, NEW BRAUNFELS, TX 78130-5136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | Q4035 | TX | Yes |

## Other

- **Enumeration date:** 07/13/2015
- **Last updated:** 06/21/2021