Individual
CHRISTOPHER JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
11675 FOWLER RD, ATASCOSA, TX 78002-5783
(210) 393-8077
Mailing address
11675 FOWLER RD, ATASCOSA, TX 78002-5783
(210) 393-8077
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
AT7853
TX
2255A2300X
Athletic Trainer
Primary
AT7853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HEB849769717
BCBS
TX
Enumeration date
04/15/2020
Last updated
04/15/2020
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