Individual
ERICA R. FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2829 BABCOCK ROAD, SUITE 710, SAN ANTONIO, TX 78229-6015
(210) 804-5400
(210) 678-4142
Mailing address
2829 BABCOCK ROAD, SUITE 710, SAN ANTONIO, TX 78229-6015
(210) 804-5400
(210) 678-4142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1181849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1181849
PT LICENSE
TX
Enumeration date
02/11/2009
Last updated
02/11/2009
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