Individual
BRYAN FABRE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1777 NE LOOP 410 STE 602, SAN ANTONIO, TX 78217-5242
(210) 201-5072
Mailing address
1777 NE LOOP 410 STE 602, SAN ANTONIO, TX 78217-5242
(210) 201-5072
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT145350
TX
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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