Individual
MR. MICHAEL PHILLIP CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2011 S TEXAS AVE, BRYAN, TX 77802-1834
(979) 599-5900
(979) 599-5901
Mailing address
6213 SKYLINE DR, HOUSTON, TX 77057-7036
(713) 880-4400
(713) 333-2900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2098683
TX
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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