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Individual

MR. ROBERTO HWANG ICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
4601 S LOOP 289, 11, LUBBOCK, TX 79424-2208
(806) 792-7200
(806) 792-7225
Mailing address
5715 83RD LN, LUBBOCK, TX 79424-4631
(806) 794-5329

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1035814
TX

Other

Enumeration date
09/21/2006
Last updated
06/25/2008
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