Provider Demographics
NPI:1629217724
Name:ACUNA, ANDRE R (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ANDRE
Middle Name:R
Last Name:ACUNA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 DORADO DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-8450
Mailing Address - Country:US
Mailing Address - Phone:956-205-2704
Mailing Address - Fax:956-205-2704
Practice Address - Street 1:2410 DORADO DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-8450
Practice Address - Country:US
Practice Address - Phone:956-207-9107
Practice Address - Fax:956-205-2704
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1177399225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist