COMAL PHYSICAL MEDICINE AND REHABILITATION
Physical Therapy at Sundance Pkwy, New Braunfels, TX

License number
Texas Q4035
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: DR. JUSTIN FREDERICK BLACK D.O.
Title: ORGANIZER
Phone: (817) 653-0788
Address
Address
2041 Sundance Pkwy, New Braunfels, TX 78130
National Provider ID: 1356725964
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COMAL PHYSICAL MEDICINE AND REHABILITATION, PLLC

301 Main Plz #170, New Braunfels, TX 78130

Registration:
Jun 3, 2015
State ID:
0802227937
Agent:
Justin Black,301 Main Plz #170, New Braunfels, TX 78130 (Physical)
TIN:
32057418439

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