Individual
MARCO ALEXANDER CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
125 N KENAZO AVE, HORIZON CITY, TX 79928-5404
(915) 245-9741
(915) 245-9741
Mailing address
609 VALLE DE BRAVO PL, HORIZON CITY, TX 79928-4700
(915) 245-9741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT123288
LICENSED MASSAGE THERAPIST
TX
Enumeration date
10/04/2017
Last updated
10/04/2017
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