Individual
MR. JOHN RYAN VELORO CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, GCS, NCS
Contact information
Practice address
3814 WOODS BLVD, TYLER, TX 75707-1677
(903) 941-1572
(903) 525-9211
Mailing address
3814 WOODS BLVD, TYLER, TX 75707-1677
(903) 941-1572
(903) 525-9211
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1092450
TX
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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