Individual
JUAN ALFARO CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
828 S FLEISHEL AVE, TYLER, TX 75701-2042
(903) 646-5350
(888) 501-1092
Mailing address
113 THUNDERBIRD DR, ATHENS, TX 75751-3509
(903) 286-7671
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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