Most Relevant Information
Provider Data
NPI Number: | 1003507831 |
Provider Name: | REUBEN CORDERO |
Entity Type: | Individual |
Taxonomy Code: | 225700000X |
Specialty: | Massage Therapist |
License Number: | MT123617 |
Most Important Dates
Enumeration Date: | 05/15/2023 |
Last Updated: | 05/15/2023 |
Provider Practice Location
6201 SUNSET DR STE 121
FORT WORTH
TX
761165535
Practice Location Phone/Fax
Phone: | 6825569487 |
Fax: |
Provider Mailing Location
4821 LOVELL AVE
FT WORTH
TX
761075326
Provider Mailing Phone/Fax
Phone: | 6825569487 |
Fax: |