Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 226300000X | Kinesiotherapist | AT6938 | TX |
NPI | 1538766191 |
---|---|
Provider Name | Francisco Ruben Perez |
First Address | Lubbock, TX 79409-9806 |
Second Address | Lubbock, TX 79409-9806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2020 |
Last Update Date | 07/10/2020 |