Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ancelmo Mojarro, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1538760640

Ancelmo Mojarro, PTA is a Physical Medicine & Rehabilitation Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

100 E Ferguson St
Tyler, TX 75702-5759
Phone: (903) 509-2040
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Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2154652 (TX)

Record details

NPI number1538760640
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 3, 2020
Mailing address100 E Ferguson St, Tyler, TX 75702-5759

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