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Organization
ISAAC ORNELAS
Active
Organization
ISAAC ORNELAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA GARCIA (CREDENTIALING COORDINATOR)
(956) 982-1001
Entity
Organization
Contact information
Practice address
3302 BOCA CHICA BLVD, BROWNSVILLE, TX 78521-5193
(956) 982-1001
(956) 544-4741
Mailing address
PO BOX 1029, OLMITO, TX 78575-1029
(956) 982-1001
(956) 544-4741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1232455
TX
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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