Pro-Active Neurology & Sports Rehab

LBN: Pro-Active Neurology & Sports Rehab
Pro-Active Neurology & Sports Rehab is an health care organization with primary practice located at 7355 Barlite Blvd Ste 101 , San Antonio TX 78224-1340. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Pro-Active Neurology & Sports Rehab can be contacted via phone (210) 333-1477, or through Lowry, Robert C via phone (210) 333-1477.

Contact Information

Primary practice address
7355 Barlite Blvd Ste 101 San Antonio TX 78224-1340
Fax: (210) 558-0520
Website:
Authorized official contact:
Name: Lowry, Robert C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X J9179 Texas

Profile Details

NPI number 1831561208
LBN Legal business name Pro-Active Neurology & Sports Rehab
DBA Doing business as
Authorized official Lowry, Robert C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2015
Last updated Oct 26th, 2015 - about 10 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 1831561208 NPPES
Texas MEDICAID 131296907

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