Individual
EMMANUEL ENVERGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1020 N COUNTY RD W, ODESSA, TX 79763-3436
(432) 332-0371
Mailing address
3619 LOCUST AVE, ODESSA, TX 79762-7750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1218651
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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