Individual
ALFONSO JIMENEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 HERRMANN DR, DEL RIO, TX 78840-4125
(830) 775-7477
Mailing address
410 JOHNSON ST, DEL RIO, TX 78840-5618
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2067551
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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