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Organization
NEW BRAUNFELS SPORTS & SPINE PHYSICAL THERAPY
Active
Organization
NEW BRAUNFELS SPORTS & SPINE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE WILSON (OFFICE MANAGER)
(830) 620-4922
Entity
Organization
Contact information
Practice address
1744 E COMMON ST STE 400, NEW BRAUNFELS, TX 78130-6079
(830) 620-4922
(830) 625-1194
Mailing address
1744 E COMMON ST STE 400, NEW BRAUNFELS, TX 78130-6079
(830) 620-4922
(830) 625-1194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
660870000
TX
225X00000X
Occupational Therapist
556150000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073PK
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/03/2007
Last updated
03/01/2023
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