Organization
THE CONCUSSION RECOVERY CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL M GAMBOA (OWNER)
(210) 923-0055
Entity
Organization
Contact information
Practice address
7333 BARLITE BLVD STE 100, SAN ANTONIO, TX 78224-1321
(210) 923-0055
Mailing address
7333 BARLITE BLVD STE 100, SAN ANTONIO, TX 78224-1321
(210) 923-0055
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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