Individual
ANDREW CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4758 LOMA DEL SUR DR, SUITE A, EL PASO, TX 79934-3597
(915) 755-0738
(915) 755-6941
Mailing address
4758 LOMA DEL SUR DR, SUITE A, EL PASO, TX 79934-3597
(915) 755-0738
(915) 755-6941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1245959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245959
TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
TX
Enumeration date
08/13/2014
Last updated
08/13/2014
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