Individual
MR. ALLEN MIRANDA GENETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1803 WESTCOTT AVE, SUGAR LAND, TX 77479-4680
(281) 329-4300
Mailing address
17114 SIMON CT, RICHMOND, TX 77407-2600
(832) 686-1646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2091509
TX
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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