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Ancelmo Mojarro, PTA

NPI 1538760640 · on the registry since 2020

Practice

Address
100 E Ferguson St
Tyler, TX 75702
Phone
(903) 509-2040
Organisation at this address
Bringinglifetogether Corp.
First Choice Children'S Homecare, Lp
First Choice Children'S Homecare, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
112

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-04

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