Organization
SPORTS MED DENTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DIERINGER (PRESIDENT)
(940) 380-9111
Entity
Organization
Contact information
Practice address
2318 SAN JACINTO BLVD, SUITE 108, DENTON, TX 76205-7535
(940) 380-9111
(940) 380-9112
Mailing address
2318 SAN JACINTO BLVD, SUITE 108, DENTON, TX 76205-7535
(940) 380-9111
(940) 380-9112
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
652180000
TX
Other
Enumeration date
06/19/2006
Last updated
09/08/2011
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