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
430 W SUNSET RD STE 430, SAN ANTONIO, TX 78209-1770
(210) 253-3450
(210) 477-1037
Mailing address
PO BOX 268996, DEPT 1131, OKLAHOMA CITY, OK 73126
(210) 756-5240
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/15/2024
Last updated
09/30/2024
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