Individual
MARIO H SEGOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1904 GRANDSTAND DR, SAN ANTONIO, TX 78238-4508
(210) 520-8070
(210) 521-7688
Mailing address
3500 GOLIAD RD LOT 106, SAN ANTONIO, TX 78223-5600
(210) 778-2111
(210) 236-5288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014205
TX
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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