| |
402 E Zavala St, Ste 1, Crystal City, TX 78839-3337 | |
(830) 374-0537 | |
(830) 374-0538 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 402 E Zavala St, Crystal City, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578558029 | NPI | - | NPPES |
0174721 | Other | WA | DEPT OF LABOR AND INDUSTR |
7080503 | Other | TX | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1010320 (Texas) | Primary |
Mailing Address | Practice Location Address |
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5911 Pioneer Est, San Antonio, TX 78245-9602 Ph: (830) 374-0537 | 402 E Zavala St, Ste 1, Crystal City, TX 78839-3337 Ph: (830) 374-0537 |
Karen Louise Richardson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 E Zavala St, Suite 1, Crystal City, TX 78839 Phone: 830-374-0537 Fax: 830-374-0538 |