Individual
MR. JORGE CEBALLOS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2335 E SAUNDERS ST, LAREDO, TX 78041-5434
(956) 645-1262
Mailing address
2335 E SAUNDERS ST, LAREDO, TX 78041-5434
(956) 645-1262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1323046
TX
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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