Provider Demographics
NPI:1063483691
Name:US HEALTH FACILITIES DEVELOPMENT
Entity Type:Organization
Organization Name:US HEALTH FACILITIES DEVELOPMENT
Other - Org Name:SOUTHWEST PHYSICAL THERAPY & REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:LUBIANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-924-3040
Mailing Address - Street 1:7333 BARLITE BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1320
Mailing Address - Country:US
Mailing Address - Phone:210-924-3040
Mailing Address - Fax:210-924-3889
Practice Address - Street 1:7333 BARLITE BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1320
Practice Address - Country:US
Practice Address - Phone:210-924-3040
Practice Address - Fax:210-924-3889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX625620000225100000X
261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174334601Medicaid
TX174334602Medicaid