Individual
MR. SERGIO P LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 902-4850
Mailing address
5142 LETHABY DR, CORPUS CHRISTI, TX 78413-5347
(361) 688-6982
(361) 993-0936
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207021
TX
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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