Individual
BASCUM LEE CHAPMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
388 COUNTY ROAD 3534, SALTILLO, TX 75478
(903) 243-7290
Mailing address
388 COUNTY ROAD 3534, SALTILLO, TX 75478-3840
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2118036
TX
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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