Individual
JOSE A FAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9903 HUNTERS POND, SAN ANTONIO, TX 78224-3069
(210) 477-2200
Mailing address
4115 OGELTHORPE OAK, SAN ANTONIO, TX 78223-3884
(210) 838-7710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2052292
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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