NPI 1063643633
Therapeutic Dimensions PLLC
Practice location
- Address
- 8715 Village Dr Suite 514, San Antonio, TX 78217-5405
- Phone
- (210) 824-5292
- Fax
- (210) 824-5240
- Mailing address
- PO Box 1337, San Antonio, TX 78295-1337
Authorised official
- Name
- Gordon a Beardwood
- Title
- Owner
- Phone
- (210) 824-5292
Registered specialties (3)
Interventional Pain Medicine Physician
Primary
Pain Medicine (Anesthesiology) Physician
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1063643633
- Entity type
- Organization
- NPI issued
- 30 Jul 2009
- Record last updated
- 19 Feb 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.