Individual
CRUZ TREVIZO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 E HOLLAND AVE STE 6, ALPINE, TX 79830-5007
(432) 837-5918
Mailing address
2525 N GRANDVIEW AVE STE 400, ODESSA, TX 79761-1621
(432) 550-4700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4052871
TX
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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