Provider Demographics
NPI:1497843262
Name:GARRIDO, MARIO DANIEL ESPINO (PT)
Entity Type:Individual
Prefix:MR
First Name:MARIO DANIEL
Middle Name:ESPINO
Last Name:GARRIDO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8219 ASH GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6519
Mailing Address - Country:US
Mailing Address - Phone:281-494-2774
Mailing Address - Fax:281-494-2774
Practice Address - Street 1:8219 ASH GARDEN CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6519
Practice Address - Country:US
Practice Address - Phone:281-494-2774
Practice Address - Fax:281-494-2774
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-7576-0225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist