Individual
JAIME PALACIOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10350 MONTANA AVE, EL PASO, TX 79925-1602
(915) 595-6137
Mailing address
12915 HUECO SANDS DR, EL PASO, TX 79938-5247
(915) 667-3348
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213007
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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