Provider Demographics
NPI:1205098126
Name:THREE MARKETEERS, INC
Entity type:Organization
Organization Name:THREE MARKETEERS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-843-4884
Mailing Address - Street 1:7271 WURZBACH ROAD
Mailing Address - Street 2:SUITE 127
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4718
Mailing Address - Country:US
Mailing Address - Phone:210-563-7837
Mailing Address - Fax:800-978-8511
Practice Address - Street 1:7271 WURZBACH ROAD
Practice Address - Street 2:SUITE 127
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4718
Practice Address - Country:US
Practice Address - Phone:210-563-7837
Practice Address - Fax:800-978-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)