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Organization
WAYNE C DODD
Active
Organization
WAYNE C DODD
Active
Other names
Isla Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE C DODD PT (OWNER)
(956) 546-7777
Entity
Organization
Contact information
Practice address
495 AMELIA EARHART STE B, BROWNSVILLE, TX 78521
(956) 546-7777
(956) 546-8899
Mailing address
495 AMELIA EARHART DR STE B, BROWNSVILLE, TX 78521-5771
(956) 546-7777
(956) 546-8899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1064996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065GT
BLUE CROSS BLUE SHIELD
TX
05
—
142452501
—
TX
Enumeration date
05/23/2007
Last updated
09/11/2013
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