Individual
MR. JESSE CARBAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1720 MURCHISON DR, EL PASO, TX 79902-2921
(915) 630-1532
Mailing address
3100 LEE TREVINO, EL PASO, TX 79936
(915) 630-1532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2104847
TX
Other
Enumeration date
12/08/2014
Last updated
12/10/2014
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