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NPI Code Detail

MEDICARE: PAUL JASON GARRIDO MPT

MEDICARE: PAUL JASON GARRIDO MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1150547TX

General Provider Information

NPI Number : 1245309848
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL JASON GARRIDO MPT
Provider Business Mailing Address
First Line : 2280 TRAWOOD DR
Second Line :
City : EL PASO
State : TX
Zip : 79935-3020
Country : US
Telephone Number : 915-595-3535
Fax Number : 915-595-3922
Provider Business Practice Location Address
First Line : 2280 TRAWOOD DR
Second Line :
City : EL PASO
State : TX
Zip : 79935-3020
Country : US
Telephone Number : 915-595-3535
Fax Number : 915-595-3922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 03/14/2008

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Directions to “ PAUL JASON GARRIDO MPT” Practice Location

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