Individual
KRISTOPHER YANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
825 W ROYAL LN STE 240, IRVING, TX 75039-3901
(972) 393-8067
Mailing address
2129 W CAMPBELL RD APT 1112, GARLAND, TX 75044-2965
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
TX
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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