Individual
ANTHONY RICHARD BAEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1430 MAIN ST APT B201, CEDAR PARK, TX 78613-0071
(512) 831-1596
Mailing address
1430 MAIN ST APT B201, CEDAR PARK, TX 78613-0071
(512) 831-1596
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT133018
TX
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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