Individual
MR. JUAN FERNANDO MELGOZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13172 TX-64, TYLER, TX 75707
(903) 566-2311
Mailing address
5610 PAREDES LINE RD, BROWNSVILLE, TX 78526
(956) 755-9110
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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