Organization
HILL COUNTRY ELECTRODIAGNOSTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY P ERNST M.P.T. (PROVIDER)
(830) 446-1410
Entity
Organization
Contact information
Practice address
155 E SONTERRA BLVD, 211, SAN ANTONIO, TX 78258-3987
(830) 446-1410
Mailing address
120 BREEZE WAY, BOERNE, TX 78006-5008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1160740
TX
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
1160740
TX
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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