Individual
CHRISTIAN ERIC ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 MOCKINGBIRD, MIDLAND, TX 79705-1608
(432) 694-0077
Mailing address
510 N 13TH ST, LAMESA, TX 79331-3212
(214) 641-2344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119112
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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