Doctor Name: | MRS. LEA ANTONIO MERCADO |
NPI Number: | 1356491781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1118560 |
Business Practice Address: | 600 Elizabeth St Corpus Christi, TX - 784042235 |
Business Phone Number: | 3618813802 |
Business Fax Number: | |
Mailing Address: | 6635 S Staples St Apt 918, CORPUS CHRISTI |
State: | TX |
Postal Code: | 784135411 |
Phone Number: | 3619801967 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 04/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1118560 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |