Individual
MR. RALARDO MEJIAS LABRADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
7363 KINGSPORT LN, TYLER, TX 75703-7495
(240) 308-3636
Mailing address
7363 KINGSPORT LN, TYLER, TX 75703-7495
(240) 308-3636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2145433
TX
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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