Individual
LIZETH HERRERA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1910 MEDI PARK DR, AMARILLO, TX 79106-2187
(806) 457-4700
Mailing address
1006 KETLER ST, AMARILLO, TX 79104-3316
(806) 382-5781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143066
TX
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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