Individual
CARLOS CORONADO ROMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 MEDI PARK DR, AMARILLO, TX 79106-2187
(806) 457-4700
Mailing address
518 W 7TH ST, DALHART, TX 79022-3414
(806) 333-0125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2133360
TX
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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