Organization
CONNEXION THERAPEUTIC ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DEMARK VICENCIO (ADMINISTRATOR)
(915) 881-8500
Entity
Organization
Contact information
Practice address
1155 WESTMORELAND DR, SUITE 124, EL PASO, TX 79925-5659
(915) 881-8500
(866) 239-1602
Mailing address
PO BOX 972688, EL PASO, TX 79997-2688
(915) 881-8500
(866) 239-1602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1096667
TX
Other
Enumeration date
03/02/2007
Last updated
06/17/2008
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