Noel Roldan Bueno Jr., PTA
Physical Therapy Assistant in Corpus Christi, TX. Individual provider (NPI-1).
NPI number1164092458
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1164092458
- Entity type
- Individual (NPI-1)
- Name
- Noel Roldan Bueno Jr.
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 4060798 | TX | Yes |
Practice location
601 Texan Trl Ste 250Corpus Christi, TX 78411-2526
Phone 361-854-0811 · Fax 361-806-5040
Mailing address
601 Texan Trl Ste 300Corpus Christi, TX 78411-2549
Phone 361-854-0811 · Fax 361-806-5040
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All 152 Physical Therapy Assistant providers in Corpus Christi · All 7,478 providers in Corpus Christi
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