Organization
SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BIRKELO (CREDENTIALING SPECIALIST)
(210) 756-5240
Entity
Organization
Contact information
Practice address
10622 STATE HIGHWAY 151 STE 204, SAN ANTONIO, TX 78251-4729
(210) 798-8585
Mailing address
PO BOX 268996, DEPT 1131, OKLAHOMA CITY, OK 73126
(210) 699-8326
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/26/2024
Last updated
09/30/2024
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