Omar Antonio Fabian

NPI #1003003450 in Tyler, Texas

Provider Information

NPI Number
1003003450
Entity Type
Individual
Name
Omar Antonio Fabian
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Oct 1, 2007
Last Updated
Oct 1, 2007

Practice Location

Address
2717 ROLLINGWOOD
City
Tyler
State
Texas
ZIP Code
75701
Phone
(903) 245-1844

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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