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Organization

THERAPEUTIC DIMENSIONS PLLC

Active
Parent organization
THERAPEUTIC DIMENSIONS, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
THERAPEUTIC DIMENSIONS, PLLC
Authorized official
GORDON A BEARDWOOD M.D. (OWNER)
(210) 824-5292
Entity
Organization

Contact information

Practice address
8715 VILLAGE DR, SUITE 514, SAN ANTONIO, TX 78217-5405
(210) 824-5292
(210) 824-5240
Mailing address
PO BOX 1337, SAN ANTONIO, TX 78295-1337

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
TX

Other

Enumeration date
07/30/2009
Last updated
02/19/2010
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