Organization
SPORTS AND FAMILY MEDICINE OF BOERNE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WOODROW MCCURLEY IV MD (PRESIDENT)
(830) 328-3559
Entity
Organization
Contact information
Practice address
136 OLD SAN ANTONIO RD, SUITE 406, BOERNE, TX 78006-3413
(830) 328-3559
Mailing address
136 OLD SAN ANTONIO RD, SUITE 406, BOERNE, TX 78006-3413
(830) 328-3559
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
N7720
TX
Other
Enumeration date
06/23/2013
Last updated
06/23/2013
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