Organization
BOWIE PHYSICAL THERAPY & SPORTS MEDICINE PC
Active
Other names
Bowie Physical Therapy & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY BAXTER LAWS LPT (OWNER DIRECTOR OF PT)
(940) 872-6852
Entity
Organization
Contact information
Practice address
1111 E WISE ST, BOWIE, TX 76230-4516
(940) 872-6852
(940) 872-6859
Mailing address
1111 E WISE ST, BOWIE, TX 76230-4516
(940) 872-6852
(940) 872-6859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1008498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029LJ
BC BS GROUP
TX
05
—
1079816-01
—
TX
01
—
686183
ACN GROUP
TX
01
—
8T2662
BLUE CROSS BLUE SHEILD
TX
Enumeration date
05/09/2006
Last updated
05/20/2009
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