Individual
CALEB MONTGOMERY BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
COLLEGE OF EDUCATION 1912 SPEEDWAY, STOP D5000, AUSTIN, TX 78712
(512) 471-3434
Mailing address
6018 RONCHAMPS DR, ROUND ROCK, TX 78681-5330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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