Individual
MR. HECTOR E BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
4105 N ROSE DR, PHARR, TX 78577-7612
(956) 483-3155
Mailing address
4105 N ROSE DR, PHARR, TX 78577-7612
(956) 483-3155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210638
TX
Other
Enumeration date
11/01/2011
Last updated
05/11/2015
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