Individual
GIL EROY LASACA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
8615 FREEPORT PKWY STE 225, IRVING, TX 75063-1984
(972) 812-3299
Mailing address
411 BUCKINGHAM RD APT 1116, RICHARDSON, TX 75081-5787
(469) 831-3165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111133
TX
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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