Organization
ELITE SPORTS MEDICINE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WOLF MD (PRESIDENT)
(205) 259-3991
Entity
Organization
Contact information
Practice address
7125 NEW SANGER RD STE B, WACO, TX 76712-4054
(254) 754-0375
(205) 754-2667
Mailing address
7125 NEW SANGER RD STE B, WACO, TX 76712-4054
(254) 754-0375
(205) 754-2667
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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