Individual
ANDREW THOMAS PANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 SHILOH RD STE C120, TYLER, TX 75703-1407
(903) 939-2800
Mailing address
305 NE LOOP 820 STE 200, HURST, TX 76053-7211
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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