Individual
DR. CARLOS CORDOVA MONTOYA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
12708 RIATA VISTA CIR STE A-106, AUSTIN, TX 78727-7174
(512) 795-2422
Mailing address
4225 GUADALUPE ST, AUSTIN, TX 78751-4224
(737) 204-0089
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1271712
TX
Other
Enumeration date
05/14/2018
Last updated
09/28/2021
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