Individual
RANDY P MAESTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3022 TRAWOOD DR, STE. B, EL PASO, TX 79936-4329
(915) 849-6602
(915) 849-6603
Mailing address
PO BOX 962500, EL PASO, TX 79996-2500
(915) 849-6602
(915) 849-6603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2047876
TX
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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