Individual
BEN MEDELEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4920 N. EXPRESSWAY 77, STE C, BROWNSVILLE, TX 78526
(956) 350-6696
(956) 350-6604
Mailing address
4920 N. EXPRESSWAY 77, STE C, BROWNSVILLE, TX 78526
(956) 350-6696
(956) 350-6604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2056760
TX
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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