Provider Demographics
NPI:1669681391
Name:CROSS, DUSTIN WAYNE (PT, MS)
Entity Type:Individual
Prefix:MR
First Name:DUSTIN
Middle Name:WAYNE
Last Name:CROSS
Suffix:
Gender:M
Credentials:PT, MS
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Mailing Address - Street 1:1131 FLAMING OAK DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4169
Mailing Address - Country:US
Mailing Address - Phone:830-627-2660
Mailing Address - Fax:830-606-4028
Practice Address - Street 1:894 LOOP 337 STE C
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3546
Practice Address - Country:US
Practice Address - Phone:830-609-2000
Practice Address - Fax:830-606-4028
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1146573225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist