Individual
MR. JEREMY DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
4110 22ND PL, LUBBOCK, TX 79410-1122
(806) 792-4329
(806) 795-0986
Mailing address
5718 37TH ST, LUBBOCK, TX 79407-4013
(806) 797-3137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2035
TX
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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