Organization
CONNOISSEUR HEALTH PROS, LLC
Active
Other names
Fuse Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO DARIEL VILLALPANDO (OWNER)
(830) 968-3050
Entity
Organization
Contact information
Practice address
1615 S. VETERANS BLVD., EAGLE PASS, TX 78852
(830) 968-3050
(866) 571-0395
Mailing address
1615 S. VETERANS BLVD., EAGLE PASS, TX 78852
(830) 968-3050
(866) 571-0395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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