Organization
CONNOISSEUR HEALTH PROS, LLC
Active
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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