Individual
MR. VICTOR M TERRAZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
1280 HAWKINS BLVD STE 130, EL PASO, TX 79925-4949
(915) 329-7100
Mailing address
2365 TIERRA SOL, EL PASO, TX 79938
(915) 329-7100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT019606
TX
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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