NPI age
13 years
Enumerated 2013-02-12
Across 2956 active specialist/technologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AT5487 | LICENSED ATHLETIC TRAINER |
| 01 (TX) | 20000010862 | NATIONALLY CERTIFIED ATHLETIC TRAINER (ATC) |
Solo or small practice. No other active providers share this practice address in NPPES.
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