Individual
ERIC CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 BALBOA RD, RANCHO VIEJO, TX 78575-9647
(956) 698-9380
Mailing address
913 BALBOA RD, RANCHO VIEJO, TX 78575-9647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
212048
TX
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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