Martin Gonzales Laureles PTA

NPI 1659542645 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1659542645
Gender Male
Enumeration Date 03/18/2008
Last Updated 03/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5101 MEDICAL DR
SAN ANTONIO TX, 78229-4801, US
Phone (210) 595-5370
Fax
Business Location
5101 MEDICAL DR
SAN ANTONIO TX, 78229-4801, US
Phone (210) 595-5370
Fax
Toxanomy
Taxonomy Code 225200000X
License State Texas
License Number 2036358
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According to our database, Mr. Martin Gonzales Laureles PTA NPI is 1659542645, taxonomy code is 225200000X and license number is 2036358, license state is located at Texas. Martin Gonzales Laureles PTA physically located at 5101 Medical Dr, San Antonio TX, 78229-4801. NPI Number Martin Gonzales Laureles PTA has the Individual type.

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1659542645 NPI number is provided on an as is basis without warranty of any kind. 1659542645 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Gonzales Laureles PTA are for informational purposes only.