Individual
ERIC JAMES DELOSSANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12413 JUDSON RD STE 260, LIVE OAK, TX 78233-3262
(210) 656-7953
(210) 656-7957
Mailing address
PO BOX 1308, COPPELL, TX 75019-1300
(214) 686-3223
(972) 724-2495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1327860
TX
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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