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Search › Texas › 225200000X

Ildefonso Carrera, PTA

NPI 1124607825 · on the registry since 2021 · sole proprietor

Practice

Address
10188 Socorro Rd
El Paso, TX 79927
Phone
(915) 479-1473
Fax
(915) 440-3148
Organisation at this address
Serenity Equine And Therapeutic Services. Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas