SEVERINO M TAN

PARIS, TX
NPI1336632298
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: TX  1073997)
Enumeration Date2018-06-14
Last Update Date2018-06-14
Business Address
SEVERINO M TAN DPT
1675 NE LOOP 286
PARIS, TX 75460-2219
Phone number: 903-782-9922
Mailing Address
SEVERINO M TAN DPT
235 33RD ST SW
PARIS, TX 75460-5369
Phone number: 903-517-6248