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Individual

GABRIEL VALDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4541 N JOSEY LN STE 130, CARROLLTON, TX 75010-4662
(469) 212-8888
Mailing address
4541 N JOSEY LN STE 130, CARROLLTON, TX 75010-4662
(469) 212-8888

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34415932
DRIVERS LICENSE
TX
Enumeration date
08/19/2021
Last updated
08/19/2021
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