Amistad Physical Therapy Clinic, Llc

LBN: Amistad Physical Therapy Clinic, Llc
Amistad Physical Therapy Clinic, Llc is an health care organization with primary practice located at 1308 N Bedell Ave , Del Rio TX 78840-7818. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Amistad Physical Therapy Clinic, Llc can be contacted via phone (830) 774-1556, or through Alsup, Stephanie via phone (830) 774-1556.

Contact Information

Primary practice address
1308 N Bedell Ave Del Rio TX 78840-7818
Phone: (830) 774-1556
Fax: (830) 774-6150
Website:
Map and Directions
Authorized official contact:
Name: Alsup, Stephanie Physical Therapist (PT)
Phone: (830) 774-1556

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 649830000/553250000 Texas

Profile Details

NPI number 1396730297
LBN Legal business name Amistad Physical Therapy Clinic, Llc
DBA Doing business as
Authorized official Alsup, Stephanie Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2005
Last updated Jan 15th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396730297 NPPES
Texas MEDICAID 155663101
Texas Other 26JB
Texas Other 351640200

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