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Individual

ALEXANDER GARCIA MADRIAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
REGENT CARE CENTER, 7001 MCPHERSON AVENUE, LAREDO, TX 78041
(956) 723-7001
Mailing address
1903 GUSTAVUS ST, LAREDO, TX 78043-2336
(956) 334-8283

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2051377
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16471757
DRIVERS LICENSE
TX
Enumeration date
01/25/2019
Last updated
01/25/2019
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