Organization
BRAVO THERAPY AND INDEPENDENT LIVING CENTER LLC
Active
Organization
BRAVO THERAPY AND INDEPENDENT LIVING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIRAM JAIR CORONA MARTINEZ (MANAGING MEMBER)
(210) 390-1795
Entity
Organization
Contact information
Practice address
327 W SUNSET RD APT 1303, SAN ANTONIO, TX 78209-1703
(626) 664-4992
Mailing address
327 W SUNSET RD APT 1303, SAN ANTONIO, TX 78209-1703
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
05/21/2021
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