Individual
HECTOR BUENROSTRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3922 W RIVER DR, CORPUS CHRISTI, TX 78410-5725
(361) 767-2000
Mailing address
3041 SANTA ANA ST, CORPUS CHRISTI, TX 78415-3057
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213433
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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