SPORTS AND FAMILY MEDICINE OF BOERNE PA
Osteopathic Medicine at Old San Antonio Rd, Fair Oaks, TX

License number
Texas N7720
Category
Osteopathic Medicine
Type
Sports Medicine
Owner
Name: CHARLES WOODROW MCCURLEY IV MD
Title: PRESIDENT
Phone: (830) 328-3559
Address
Address
136 Old San Antonio Rd SUITE 406, Fair Oaks, TX 78006
National Provider ID: 1033558028
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SPORTS AND FAMILY MEDICINE OF BOERNE, PA

136 Old San Antonio Rd STE 406, Boerne, TX 78006

Doing business as:
Sports and Family Medicine of Boerne, PA
Registration:
Apr 11, 2013
State ID:
0801766639
Business type:
Professional Association
Director, Members:
Wendy Peet Mccurley (Director, Member),Charles Woodrow Mccurley (Director, Member)
Agent:
Charles Mccurley,136 Old San Antonio Rd, Boerne, TX 78006 (Physical)
TIN:
32050689655

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