Individual
AGUSTIN ALBERTO CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8503 MYSTIC PARK, SAN ANTONIO, TX 78254-2544
(210) 256-0906
Mailing address
11206 SCARBOROUGH CT, SAN ANTONIO, TX 78249-3500
(956) 645-7930
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2069980
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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