Back To Action

LBN: Eagle Pass Therapy Clinic Pc
Back To Action is an health care organization with primary practice located at 1000 Crown Ridge Blvd Suite C, Eagle Pass TX 78852. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Eagle Pass Therapy Clinic Pc can be contacted via phone (830) 757-2497, or through Tice, Brett Alan via phone (956) 428-8951.

Contact Information

Primary practice address
1000 Crown Ridge Blvd Suite C Eagle Pass TX 78852
Phone: (830) 757-2497
Fax: (830) 757-0489
Website:
Map and Directions
Authorized official contact:
Name: Tice, Brett Alan
Phone: (956) 428-8951

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1578579827
LBN Legal business name Eagle Pass Therapy Clinic Pc
DBA Doing business as Back To Action
Authorized official Tice, Brett Alan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1578579827 NPPES
Other 86MR BCBS

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