| Doctor Name: | CHAD A POGUE |
| NPI Number: | 1043425598 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 1135457 |
| Business Practice Address: | 11219 Potranco Rd Bldg A Suite 110 San Antonio, TX - 782535848 |
| Business Phone Number: | 2106796900 |
| Business Fax Number: | 2106796904 |
| Mailing Address: | 12952 Bandera Rd, Suite 107 HELOTES |
| State: | TX |
| Postal Code: | 780234689 |
| Phone Number: | 2103729600 |
| Fax Number: | 2103720211 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 04/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1135457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |