Individual
AUSTIN SLATE ADMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6407 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
(817) 423-5611
(817) 423-5577
Mailing address
6407 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
(817) 423-5611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1369900
TX
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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