Organization
FYZICAL CORPUS CHRISTI LLC
Active
Organization
FYZICAL CORPUS CHRISTI LLC
Active
Other names
Fyzical Corpus Christi
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA M LOPEZ (OWNER, OPERATIONS MANAGER)
(210) 269-0242
Entity
Organization
Contact information
Practice address
3201 AIRLINE RD STE E, CORPUS CHRISTI, TX 78414-3571
(361) 334-1033
Mailing address
4510 GRAND LAKE DR, CORPUS CHRISTI, TX 78413-5267
(210) 269-0242
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932696721
—
TX
Enumeration date
06/24/2020
Last updated
06/24/2020
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