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Contact Information

EARL W RYBURN JR, COTA
7555 NW LOOP 410
#114
SAN ANTONIO, TX78245-2353
 Phone: 210-325-7330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
 

Physical Therapy

261QP2000X
 

Rehabilitation Unit

273Y00000X A0[7] Hospital-Rehabilitation Unit
Indicates primary specialty

NPI Profile & details for

NPI # 1285025650
Entity Organization
Organization subpart 1 Not specified
Enumeration date 02/06/2015
Last updated 02/06/2015 - About 11 years ago
Identifiers
TX License # 208800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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