| Deryck Bryan Lopez Garcia, DPT | |
|
12413 Judson Rd Ste 260, Live Oak, TX 78233-3262 | |
| (210) 656-7953 | |
| (210) 656-7957 |
| Full Name | Deryck Bryan Lopez Garcia |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 12413 Judson Rd Ste 260, Live Oak, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932974904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1389387 (Texas) | Primary |
| Provider Name | Mission Rehabilitation And Sports Medicine Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053559443 PECOS PAC ID: 6709943160 Enrollment ID: O20090330000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Deryck Bryan Lopez Garcia, DPT 12413 Judson Rd Ste 260, Live Oak, TX 78233-3262 Ph: (210) 656-7953 | Deryck Bryan Lopez Garcia, DPT 12413 Judson Rd Ste 260, Live Oak, TX 78233-3262 Ph: (210) 656-7953 |
Jeremy Schulz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12709 Toepperwein Rd Ste 101, Live Oak, TX 78233 Phone: 210-477-5151 Fax: 210-477-5152 | |
Eric Matthew Rodriguez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7939 Pat Booker Rd Ste 120, Live Oak, TX 78233 Phone: 210-660-2345 Fax: 210-446-1442 | |
Kirby Thames, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7939 Pat Booker Rd Ste 120, Live Oak, TX 78233 Phone: 210-660-2345 | |
Kellan Robert Barry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12500 Judson Rd # 201, Live Oak, TX 78233 Phone: 210-699-8326 | |
Crystal R Calton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7909 Pat Booker Rd, Live Oak, TX 78233 Phone: 210-590-7412 Fax: 210-590-2343 | |
Caliope Antonia Mcbride, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12315 Judson Rd Ste 312, Live Oak, TX 78233 Phone: 210-599-3090 Fax: 210-599-4088 | |
Scott Michael Cartwright, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7505 N Loop 1604 E Ste 101, Live Oak, TX 78233 Phone: 210-658-8483 |