Individual
JOSE MOURICIO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1035 DAIRY ASHFORD, # 216, HOUSTON, TX 77079-4600
(713) 560-5871
Mailing address
1035 DAIRY ASHFORD ST, # 216, HOUSTON, TX 77079-4600
(713) 560-5871
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT043034
MASSAGE THERAIST CERTIFICATION
TX
Enumeration date
01/10/2011
Last updated
01/31/2011
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