Sports, Back & Pain Mangement Clinic

LBN: Sports, Back & Pain Mangement Clinic
Sports, Back & Pain Mangement Clinic is an health care organization with primary practice located at 2011 #A Villa Maria Rd , Bryan TX 77802-2541. The organization recently has 6 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is the primary health care specialty. Sports, Back & Pain Mangement Clinic can be contacted via phone (979) 776-2225, or through Bradway, Leon F via phone (979) 776-2225.

Contact Information

Primary practice address
2011 #A Villa Maria Rd Bryan TX 77802-2541
Phone: (979) 776-2225
Fax: (979) 776-7945
Website:
Map and Directions
Authorized official contact:
Name: Bradway, Leon F
Phone: (979) 776-2225

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1055085 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical 2251E1300X 1055085 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 1055085 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors 2251H1300X 1055085 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 1055085 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1055085 Texas

Profile Details

NPI number 1275786469
LBN Legal business name Sports, Back & Pain Mangement Clinic
DBA Doing business as
Authorized official Bradway, Leon F
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2008
Last updated Oct 31st, 2008 - about 18 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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