Individual
MR. CRAIG FRANK NEFFENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11 MAIN ST, BLANCO, TX 78606-4900
(830) 833-3068
(830) 833-3133
Mailing address
11 MAIN ST, BLANCO, TX 78606-4900
(830) 833-3068
(830) 833-3133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1099380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184047201
—
TX
01
—
659911
BCBS
TX
Enumeration date
07/31/2006
Last updated
05/08/2023
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