Individual
BLADIMIR ANTONIO PENADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3111 FRY RD STE 170, KATY, TX 77449-6742
(281) 829-3577
Mailing address
7426 TONSLEY SPRINGS DR, CYPRESS, TX 77433-2131
(516) 574-1779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14684
TX
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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