Individual
EVARISTE MUSONERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
965 MINDA ST, ABILENE, TX 79602-1854
(325) 201-5314
(325) 201-5314
Mailing address
965 MINDA ST, ABILENE, TX 79602-1854
(325) 201-5314
(325) 201-5314
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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