Individual
CHAD A POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
11219 POTRANCO RD BLDG A, SUITE 110, SAN ANTONIO, TX 78253-5848
(210) 679-6900
(210) 679-6904
Mailing address
12952 BANDERA RD, SUITE 107, HELOTES, TX 78023-4689
(210) 372-9600
(210) 372-0211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1135457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102303
—
TX
01
—
8T7682
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/10/2007
Last updated
04/29/2011
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