Basic Information
Provider Information
NPI: 1306026208
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRABEK
FirstName: AMBER
MiddleName: MARIE
NamePrefix: MS.
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14220 NORTHBROOK
Address2: SUITE #700
City: SAN ANTONIO
State: TX
PostalCode: 78232
CountryCode: US
TelephoneNumber: 2108228807
FaxNumber: 2108228863
Practice Location
Address1: 8800 VILLAGE DR
Address2: SUITE 101
City: SAN ANTONIO
State: TX
PostalCode: 78217
CountryCode: US
TelephoneNumber: 2106547428
FaxNumber: 2103377966
Other Information
ProviderEnumerationDate: 11/07/2007
LastUpdateDate: 06/16/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1117695TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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