Brian Vergara Cornejo, PT | |
1111 Woodworth Dr Apt 808, Alice, TX 78332-3745 | |
(361) 664-0488 | |
Not Available |
Full Name | Brian Vergara Cornejo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1111 Woodworth Dr Apt 808, Alice, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649483587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1165392 (Texas) | Primary |
Provider Name | Spark Rehab Specialist Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831752252 PECOS PAC ID: 0345576716 Enrollment ID: O20190723001171 |
Mailing Address | Practice Location Address |
---|---|
Brian Vergara Cornejo, PT 1111 Woodworth Dr Apt 808, Alice, TX 78332-3745 Ph: (361) 664-0488 | Brian Vergara Cornejo, PT 1111 Woodworth Dr Apt 808, Alice, TX 78332-3745 Ph: (361) 664-0488 |
Prof. Leonardo C Hipolito, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 204 East First Street, Alice, TX 78332 Phone: 361-668-3776 Fax: 361-664-8955 | |
Cesar E Yevenes, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1152 E 2nd St, Alice, TX 78332 Phone: 361-664-6085 Fax: 361-668-3804 | |
Miguel Armando Castro, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1302 E 5th St, Alice, TX 78332 Phone: 361-758-5199 | |
Errol Manly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 E Main St, Alice, TX 78332 Phone: 361-661-8130 | |
Dr. Rhonda Jean Mclaughlin-camacho, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 E Main St Ste B, Alice, TX 78332 Phone: 361-396-0243 | |
Chad E Sweigart, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 204 E 1st St, Alice, TX 78332 Phone: 956-728-1769 Fax: 956-722-1723 | |
Julie Kuchem, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 E Main St, Alice, TX 78332 Phone: 361-661-8130 |