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1780164921
AGUSTIN ALBERTO CHAVEZ
SAN ANTONIO, TX
NPI
1780164921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2069980)
Enumeration Date
2018-08-16
Last Update Date
2018-08-16
Business Address
AGUSTIN ALBERTO CHAVEZ PTA
8503 MYSTIC PARK
SAN ANTONIO, TX 78254-2544
Phone number: 210-256-0906
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Mailing Address
AGUSTIN ALBERTO CHAVEZ PTA
11206 SCARBOROUGH CT
SAN ANTONIO, TX 78249-3500
Phone number: 956-645-7930
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