Individual ProviderAntonio Jesus DurantPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517(915) 562-8525PECOS EnrollmentBased on the most recent information from CMS, provider Antonio Jesus Durant does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1235597055Provider TypeIndividualFull NameDurant, Antonio JesusCredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date2/8/2016Last Updated2/8/2016Contact InformationPractice LocationPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517Phone(915) 562-8525Fax(915) 566-3889Mailing LocationMailing Address6358 Edgemere Blvd, El Paso, TX 79925-3517Phone(915) 562-8525Fax(915) 566-3889Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1271045Texas