Individual
REUBEN ZETH DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Mailing address
12511 OLD GLORY AVE, SAN ANTONIO, TX 78253-6334
(210) 954-1552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143206
TX
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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