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Organization

RGV-NUECES REHABILITATION, INC.

Active
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Organization

RGV-NUECES REHABILITATION, INC.

Active
Other names
Innovative Physical Therapy & Sports Medicine Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER JOHN SCHANEN (OWNER/CEO)
(210) 921-2111
Entity
Organization

Contact information

Practice address
102 PALO ALTO RD, SUITE 465, SAN ANTONIO, TX 78211-3758
(210) 921-2111
(210) 921-2444
Mailing address
PO BOX 1329, HELOTES, TX 78023-1329
(210) 921-2111
(210) 921-2444

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
629340000
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0079DL
BCBS
TX
05
080735601
TX
01
10066488
AMERIGROUP
TX
01
6400150
UNITED HEALTHCARE
TX
01
7712156
AETNA
TX
01
I070440
INTERPLAN HEALTH PLAN
TX
Enumeration date
06/10/2005
Last updated
04/30/2008
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