Individual
DR. IAN EMANUEL AVILES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4000
Mailing address
4846 AUSTIN MEADOW LN, KATY, TX 77449-2497
(713) 410-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4559
PR
2251X0800X
Orthopedic Physical Therapist
Primary
1344465
TX
Other
Enumeration date
06/02/2019
Last updated
12/26/2022
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