Individual
ANASTACIA BUENAVISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6776 SOUTHWEST FWY, SUITE 532, HOUSTON, TX 77074-2107
(713) 780-3711
Mailing address
2711 BRIARHURST DR #9, HOUSTON, TX 77057
(832) 878-3397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02729424
TX
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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