Organization
C OF C PEDIATRICS, LLC
Active
Other names
C of C Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE CHANDLER (CHIEF CLINICAL OFFICER)
(210) 698-9844
Entity
Organization
Contact information
Practice address
6222 W INTERSTATE 10, SUITE 200, SAN ANTONIO, TX 78201
(210) 698-9844
(210) 698-3220
Mailing address
6222 W INTERSTATE 10, SUITE 200, SAN ANTONIO, TX 78201
(210) 698-9844
(210) 698-3220
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
07/05/2022
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