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Organization
WEST TEXAS THERAPEUTIC SERVICES
Active
Organization
WEST TEXAS THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADALBERTO REVELES (DIRECTOR)
(915) 920-4047
Entity
Organization
Contact information
Practice address
11395 JAMES WATT DR STE A6, EL PASO, TX 79936-5941
(915) 629-7669
(915) 629-7679
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1061430
TX
2251G0304X
Geriatric Physical Therapist
1061430
TX
2251P0200X
Pediatric Physical Therapist
1061430
TX
2251X0800X
Orthopedic Physical Therapist
1061430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179118802
—
TX
05
—
179118803
—
TX
Enumeration date
12/01/2015
Last updated
11/09/2021
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