Individual
ANTWAN TERRAL HILL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8500 EMERALD HILLS WAY, NORTH RICHLAND HILLS, TX 76180-5662
(817) 577-3337
Mailing address
6409 STARDUST DR S, WATAUGA, TX 76148-3639
(817) 319-2730
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215283
TX
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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