Individual
ANTHONY MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5600 N BEACH ST APT 1013, HALTOM CITY, TX 76137-2817
(646) 739-4386
Mailing address
5600 N BEACH ST APT 1013, HALTOM CITY, TX 76137-2817
(646) 739-4386
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216500
TX
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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