Individual
SAMUEL CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12709 TOEPPERWEIN RD STE 101, LIVE OAK, TX 78233-3259
(210) 477-5151
Mailing address
12709 TOEPPERWEIN RD STE 101, LIVE OAK, TX 78233-3259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2082776
TX
Other
Enumeration date
11/03/2017
Last updated
03/17/2018
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