Individual provider · NPI-1

Gerald Ross Adcock, PT

Physical Therapist · San Antonio, TX

NPI number1235341835
StatusActive
Last updated in NPPESJun 21, 2011

Details

NPI
1235341835
Entity type
Individual (NPI-1)
Name
Mr. Gerald Ross Adcock
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2007
Last updated
Jun 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1043099TXYes

Practice location

3453 Ih35 North Suite 207 B
San Antonio, TX 78219

Phone 210-227-8080 · Fax 210-298-2658

Mailing address

1045 Central Parkway North
Suite 200
San Antonio, TX 78232-5024

Phone 210-541-4500

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