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Organization

REHABILITATION GROUP P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA DZIEDZIC (OFFICE MANAGER)
(210) 614-3225
Entity
Organization

Contact information

Practice address
2701 BABCOCK RD, STE A, SAN ANTONIO, TX 78229-4800
(210) 614-3225
Mailing address
2701 BABCOCK RD, STE A, SAN ANTONIO, TX 78229-4800
(210) 614-3225

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00F20L
BCBS GROUP #
TX
05
082428601
TX
Enumeration date
01/30/2007
Last updated
06/22/2023
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