Individual
CESAR ROMARIO PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3915 AVENUE K, GALVESTON, TX 77550-3831
(409) 877-2413
Mailing address
3915 AVENUE K, GALVESTON, TX 77550-3831
(409) 877-2413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
08/20/2020
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