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Organization
HEALTHCARE EXECUTIVES
Active
Organization
HEALTHCARE EXECUTIVES
Active
Parent organization
HEALTHCARE EXECUTIVES
Other names
Fyzical Therapy and Balance Centers South San Antonio
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHCARE EXECUTIVES
Authorized official
MR. FRANCIS J POTTENGER PT (PRESIDENT)
(210) 921-1599
Entity
Organization
Contact information
Practice address
2406 COMMERCIAL AVE, SUITE I, SAN ANTONIO, TX 78221-1757
(210) 921-1599
(210) 921-2088
Mailing address
2406 COMMERCIAL AVE, SUITE I, SAN ANTONIO, TX 78221-1757
(210) 921-1599
(210) 921-2088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1040335
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188942001
—
TX
01
—
8T4505
BLUECROSS BLUESHIELD
TX
Enumeration date
05/25/2016
Last updated
05/25/2016
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