Individual
MR. ANGEL SUPERABLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1800 13TH ST, BAY CITY, TX 77414-3920
(979) 245-6327
(979) 245-0164
Mailing address
1800 13TH ST, BAY CITY, TX 77414-3920
(979) 245-6327
(979) 245-0164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1082089
TX
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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