MATTHEW JACOB LARES

EL PASO, TX
NPI1700385762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1302060)
Enumeration Date2018-02-06
Last Update Date2018-02-06
Business Address
MATTHEW JACOB LARES PT
4242 HONDO PASS DRIVE SUITE 110
EL PASO, TX 79904
Phone number:
Mailing Address
MATTHEW JACOB LARES PT
2280 TRAWOOD DRIVE
EL PASO, TX 79935
Phone number: