Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | ||
N | 226300000X | Kinesiotherapist |
NPI | 1871703520 |
---|---|
Provider Name | Mr. Anthony G Pineda |
First Address | Cypress, TX 77433-2533 |
Second Address | Cypress, TX 77433-2533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/02/2022 |