| Organization Name: | SOUTH TEXAS SPORTS MEDICINE INC |
| NPI Number: | 1083933097 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD RAY ZYLKS (PRESIDENT) |
| Mailing Address: | 1007 Fm 3036 Fulton |
| State: | TX US |
| Postal Code: | 78358 |
| Phone Number: | 3617298668 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2010 |
| NPI Last Update Date: | 09/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 604380002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |