Individual
MR. CHRISTOFFERSON VILLAREAL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2055 W GRANDE BLVD, TYLER, TX 75703-0526
(903) 534-0449
Mailing address
127 W BROAD ST STE 850, LAKE CHARLES, LA 70601-4394
(337) 310-8500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1170633
TX
Other
Enumeration date
05/14/2007
Last updated
06/24/2023
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