Individual
MR. JOHN DARNELL DEROULAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
232 LINBERG AVENUE, MCALLEN, TX 78501
(956) 682-7774
(956) 682-7780
Mailing address
232 LINBERG AVENUE, MCALLEN, TX 78501
(956) 682-7774
(956) 682-7780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2084458
TX
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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