Webster Sports Medicine and Injury Clinic LLC

NPI #1851980502 in Webster, Texas

Provider Information

NPI Number: 1851980502
Entity Type: Organization
Organization Name: Webster Sports Medicine and Injury Clinic LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 15, 2021
Last Updated: Jan 15, 2021

Practice Location

Address: 202 N TEXAS AVE STE 400
City: Webster
State: Texas
ZIP Code: 77598-4967
Phone: (806) 701-9999

Authorized Official

Name: NITA PANCHOLI
Title: ADMINISTRATOR
Phone: (678) 687-7494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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