| Fayco Sport & Spine | |
|
109 E North Main St, Flatonia, TX 78941-2239 | |
| (830) 613-6008 | |
| Not Available |
| Full Name | Fayco Sport & Spine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 109 E North Main St, Flatonia, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306535448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Aaron Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255086070 PECOS PAC ID: 3375930647 Enrollment ID: I20220505001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Fayco Sport & Spine Po Box 374, Flatonia, TX 78941-0374 Ph: (830) 613-6008 | Fayco Sport & Spine 109 E North Main St, Flatonia, TX 78941-2239 Ph: (830) 613-6008 |
Aaron Gray, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 109 E North Main St, Flatonia, TX 78941 Phone: 361-865-7677 | |
Marlene Bolton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 624 N Converse St, Flatonia, TX 78941 Phone: 361-865-3469 Fax: 361-865-3469 | |
Allison Charanza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2940 E Wiedemann Rd, Flatonia, TX 78941 Phone: 979-250-1422 |