BOERNE SPECTRUM PHYSICAL THERAPY CLINIC
Physical Therapy at Horse Hl, Fair Oaks, TX

License number
Texas 1164493
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: MARK STEPHEN MALONE MSPT
Title: OWNER/PHYSICAL THERAPIST
Phone: (830) 331-9443
Address
Address
264 Horse Hl, Fair Oaks, TX 78006
National Provider ID: 1003140831
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BOERNE SPECTRUM PHYSICAL THERAPY CLINIC LLC

Fair Oaks, TX

Registration:
Sep 23, 2009
Addresses:
1100 N Main St STE 104, Boerne, TX 78006 (Mailing)
264 Horse Hl, Fair Oaks, TX 78006
State ID:
0801173766
Business type:
Domestic Limited Liability Company (LLC)
Managers:
Mark Malone (Director, Member), 264 Horse Hl, Boerne, TX 78006,Mark Stevens (Director, Member),Krista Malone Manager, inactive
Agent:
Mark Stephen Malone,264 Horse Hl, Boerne, TX 78006 (Physical)
TIN:
32040358650

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