Organization
CONQUISTADORS PEDIATRIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DOLORES VALENCIA (OWNER)
(903) 806-0659
Entity
Organization
Contact information
Practice address
5907 W MARSHALL AVE, LONGVIEW, TX 75604-6011
(903) 759-6500
(866) 916-2178
Mailing address
5907 W MARSHALL AVE, LONGVIEW, TX 75604-6011
(903) 759-6500
(866) 916-2178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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