SearchTexas2255A2300X

Jose Portales, ATC, LAT

NPI 1659879021 · on the registry since 2018

Practice

Address
901 Wildcat Way
Kennedale, TX 76060
Phone
(817) 563-8133
Fax
(817) 563-8133
Clinicians at this address
2

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-31

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