NPI age
8 years
Enumerated 2018-04-03
Across 2956 active specialist/technologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AT6095 | TEXAS DEPARTMENT OF LICENSING AND REGULATION |
| 01 | 2000004828 | ATHLETIC TRAINING BOARD OF CERTIFICATION |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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