| Bravo Therapy And Independent Living Center Llc | |
|
327 W Sunset Rd Apt 1303 San Antonio TX 78209-1703 | |
| (626) 664-4992 | |
| Not Available |
| Full Name | Bravo Therapy And Independent Living Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 327 W Sunset Rd Apt 1303, San Antonio, Texas |
| Authorized Official Name and Position | Hiram Jair Corona Martinez (MANAGING MEMBER) |
| Authorized Official Contact | 2103901795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravo Therapy And Independent Living Center Llc 327 W Sunset Rd Apt 1303 San Antonio TX 78209-1703 Ph: () - | Bravo Therapy And Independent Living Center Llc 327 W Sunset Rd Apt 1303 San Antonio TX 78209-1703 Ph: (626) 664-4992 |
| NPI Number | 1376126979 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376126979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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