Individual
MIKEL FERNANDO ADAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 MONTANA AVE STE G&H, EL PASO, TX 79925-2155
(915) 838-7604
Mailing address
305 NE LOOP 820 STE 200, HURST, TX 76053-7211
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218607
TX
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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