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1487137162
JOSE A FAZ
SAN ANTONIO, TX
NPI
1487137162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2052292)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
JOSE A FAZ
9903 HUNTERS POND
SAN ANTONIO, TX 78224-3069
Phone number: 210-477-2200
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Mailing Address
JOSE A FAZ
4115 OGELTHORPE OAK
SAN ANTONIO, TX 78223-3884
Phone number: 210-838-7710
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