Individual
PAVEL JESUS FAXAS DEL TORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
21119 BRIDGE SPRINGS LN, KATY, TX 77449-5069
(832) 703-0009
Mailing address
2221 MAPLE POINT DR N, CONROE, TX 77301-3168
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
1075261
TX
163WM0705X
Medical-Surgical Registered Nurse
Primary
1075261
TX
163WM1400X
Nurse Massage Therapist (NMT)
1075261
TX
163WW0000X
Wound Care Registered Nurse
1075261
TX
225700000X
Massage Therapist
MT127406
TX
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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