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Organization
TEXAS FEDERAL WELLNESS CENTER OF LAREDO
Active
Organization
TEXAS FEDERAL WELLNESS CENTER OF LAREDO
Active
Other names
Texas Federal Wellness Center of Laredo
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE ZIMMER (CREDENTIALING)
(512) 800-3659
Entity
Organization
Contact information
Practice address
8607 MCPHERSON RD STE 101, LAREDO, TX 78045-6383
(956) 568-3583
Mailing address
8607 MCPHERSON RD STE 101, LAREDO, TX 78045-6383
(956) 568-3583
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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