Organization
SOUTH TEXAS PM & R GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX WILLINGHAM MD (PRESIDENT)
(210) 615-2225
Entity
Organization
Contact information
Practice address
2 SPURS LN STE 100, SAN ANTONIO, TX 78240-1760
(210) 615-2255
(210) 615-8432
Mailing address
PO BOX 380635, SAN ANTONIO, TX 78268-7635
(210) 615-2225
(210) 615-8432
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112882902
—
TX
01
—
OOU54E
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
09/11/2007
Last updated
09/14/2023
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