Individual
CHRSTIAN EDGAR COMPEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
23127 IH 10 W, SUITE 203, SAN ANTONIO, TX 78257-2505
(210) 698-6333
(210) 698-6332
Mailing address
23127 IH 10 W, SUITE 203, SAN ANTONIO, TX 78257-2505
(210) 698-6333
(210) 698-6332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
160246
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2143786
—
TX
01
—
TXB162347
MEDICARE PTAN
TX
Enumeration date
09/07/2007
Last updated
10/14/2012
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