Doctor Name: | MR. CHRISTOFFERSON VILLAREAL MENDOZA |
NPI Number: | 1588879290 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 1170633 |
Business Practice Address: | 2051 W Cumberland Rd Apt. 920 Tyler, TX - 757035343 |
Business Phone Number: | 3619448189 |
Business Fax Number: | |
Mailing Address: | 2051 W Cumberland Rd, Apt. 920 TYLER |
State: | TX |
Postal Code: | 757035343 |
Phone Number: | 3619448189 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1170633 |
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 |