Individual
GABRIEL ANDRES PERLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2139 SAN JACINTO BLVD, AUSTIN, TX 78712-1753
(512) 471-8258
Mailing address
2139 SAN JACINTO BLVD, AUSTIN, TX 78712-1753
(512) 471-8258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4348
TX
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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