Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 1125037 | TX |
NPI | 1003037649 |
---|---|
Provider Name | Mr. Nathan Gabriel Saffels |
First Address | Mcallen, TX 78504-2476 |
Second Address | Mcallen, TX 78504-2476 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 05/05/2017 |