# ELITE SPORTS MEDICINE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1740586015
- **Authorized official:** ROBERT WOLF MD (PRESIDENT)
- **Authorized official phone:** (205) 259-3991

## Contact information

- **Practice address:** 7125 NEW SANGER RD STE B, WACO, TX 76712-4054
- **Practice address phone:** (254) 754-0375
- **Practice address fax:** (205) 754-2667
- **Mailing address:** 7125 NEW SANGER RD STE B, WACO, TX 76712-4054
- **Mailing address phone:** (254) 754-0375
- **Mailing address fax:** (205) 754-2667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | — | NULL | Yes |
| 173000000X | Legal Medicine | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2011
- **Last updated:** 02/04/2011