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Organization
WEBSTER SPORTS MEDICINE AND INJURY CLINIC LLC
Active
Organization
WEBSTER SPORTS MEDICINE AND INJURY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITA PANCHOLI (ADMINISTRATOR)
(678) 687-7494
Entity
Organization
Contact information
Practice address
202 N TEXAS AVE STE 400, WEBSTER, TX 77598-4967
(806) 701-9999
Mailing address
202 N TEXAS AVE STE 400, WEBSTER, TX 77598-4967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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