OMAR ANTONIO FABIAN

TYLER, TX
NPI1003003450
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2056123)
Enumeration Date2007-10-01
Last Update Date2007-10-01
Business Address
-- OMAR ANTONIO FABIAN
2717 ROLLINGWOOD
TYLER, TX 75701
Phone number: 903-245-1844
Mailing Address
-- OMAR ANTONIO FABIAN
2717 ROLLINGWOOD DR
TYLER, TX 75701-6007
Phone number: 903-245-1844
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