Individual
MR. JUAN LUIS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1111 AVENUE P, RALLS, TX 79357-3502
(806) 253-2749
Mailing address
3611 PONTIAC AVE, LUBBOCK, TX 79407-1823
(806) 200-1027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2129801
TX
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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