Organization
COMPREHENSIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN M GASCOT PT (PHYSICAL THERAPIST)
(830) 796-3447
Entity
Organization
Contact information
Practice address
3456 HWY 16 SOUTH, BANDERA, TX 78003
(830) 796-3447
(830) 796-3685
Mailing address
PO BOX 2805, BANDERA, TX 78003
(830) 796-3447
(830) 796-3685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10676678
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T2788
BCBS
TX
01
—
P00159591
MEDICARE RAILROAD
TX
Enumeration date
09/25/2006
Last updated
10/12/2007
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