Individual
CARLOS CRISPULO CHIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3100 N LEE TREVINO DR, EL PASO, TX 79936-2098
(915) 533-7465
Mailing address
3100 N LEE TREVINO DR, EL PASO, TX 79936-2098
(915) 533-7465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2052058
TX
Other
Enumeration date
05/14/2013
Last updated
05/19/2013
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