| South Texas Sports Medicine Inc | |
|
203 Cedar Dr, Portland, TX 78374-2900 | |
| (361) 643-3993 | |
| (361) 687-2465 |
| Full Name | South Texas Sports Medicine Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 203 Cedar Dr, Portland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235160250 | NPI | - | NPPES |
| 0019BG | Other | TX | BLUE CROSS BLUE SHIELD |
| 094468801 | Medicaid | TX | |
| 177212100 | Other | DEPARTMENT OF LABOR | |
| 094468802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Sports Medicine Inc 5530 Lipes Blvd, Corpus Christi, TX 78413-5511 Ph: (361) 993-9494 | South Texas Sports Medicine Inc 203 Cedar Dr, Portland, TX 78374-2900 Ph: (361) 643-3993 |
Mr. Jed S. Mcnally, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 Cedar Dr, Portland, TX 78374 Phone: 361-643-3993 Fax: 361-687-2465 | |
John David Lerma, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 114 Lang Rd, Portland, TX 78374 Phone: 361-643-8243 | |
Faith Cafe Reddoch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Northshore Blvd, Portland, TX 78374 Phone: 361-643-3777 | |
Mr. Steven D Tietze, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wildcat Dr Ste H, Portland, TX 78374 Phone: 361-643-9900 Fax: 361-643-9909 | |
Monica R Rodriguez, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 North Shore Blvd, Portland, TX 78374 Phone: 361-643-3777 Fax: 361-643-3777 | |
Chance A Cromarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 Cedar Dr, Portland, TX 78374 Phone: 361-643-3993 |