Individual
MR. MICHAEL KURT JAVELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
1104B W SAM HOUSTON ST, PHARR, TX 78577-5104
(956) 787-1962
(956) 787-1564
Mailing address
1104-B W SAM HOUSTON ST, PHARR, TX 78577
(956) 787-0962
(956) 787-1564
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1107373
TX
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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