Provider Demographics
NPI:1326152943
Name:ELSWOOD, DAVID SIDNEY (LPT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:SIDNEY
Last Name:ELSWOOD
Suffix:
Gender:M
Credentials:LPT
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Mailing Address - Street 1:1045 CENTRAL PARKWAY NORTH
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5024
Mailing Address - Country:US
Mailing Address - Phone:210-541-4500
Mailing Address - Fax:210-541-4508
Practice Address - Street 1:3453 IH 35 N
Practice Address - Street 2:SUITE 207B
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78219-2333
Practice Address - Country:US
Practice Address - Phone:210-568-0508
Practice Address - Fax:210-588-0510
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2013-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1032746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
8L24245Medicare PIN
8J2522Medicare PIN