Individual
BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LAT, ATC, CSCS
Contact information
Practice address
11400 CONCORDIA UNIVERSITY DR, AUSTIN, TX 78726-1887
(512) 313-4528
Mailing address
3251 AUSTINS COLONY PKWY, BRYAN, TX 77808-2276
(979) 209-7929
(979) 209-7943
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5932
TX
Other
Enumeration date
07/23/2014
Last updated
06/07/2016
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