Individual
REUBEN CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 SUNSET DR STE 121, FORT WORTH, TX 76116-5535
(682) 556-9487
Mailing address
4821 LOVELL AVE, FT WORTH, TX 76107-5326
(682) 556-9487
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123617
TX
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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