Individual
ANDRES JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13915 BURNET RD STE 204, AUSTIN, TX 78728-6537
(512) 583-3792
Mailing address
5240 W 18TH ST, ODESSA, TX 79763-5011
(432) 295-2990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2165223
TX
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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