Organization
BULVERDE REHABILITATION & WELLNESS CENTER PLLC
Active
Other names
Bulverde Physical Therapy & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE MCGILL (MEMBER)
(830) 980-4055
Entity
Organization
Contact information
Practice address
20475 HWY 46W, #150, SPRING BRANCH, TX 78070-6180
(830) 980-4055
(830) 438-4085
Mailing address
20475 HWY 46W, #150, SPRING BRANCH, TX 78070-6180
(830) 980-4055
(830) 438-4085
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
633230000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036EF
BC/BS
TX
Enumeration date
04/29/2009
Last updated
04/29/2009
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