Individual
ELAINE TUCAY PANERGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
801 ROAD TO SIX FLAGS W, ARLINGTON, TX 76012-2616
(817) 462-8111
Mailing address
13774 GAZEBO LN APT 402, EULESS, TX 76040-7558
(408) 449-1482
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1300781
TX
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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