Individual
MEREDITH GRACE COCKERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W MILITARY DRIVE, SAN ANTONIO, TX 78236
(210) 292-1941
Mailing address
243 BAMBURGH DR, SAN ANTONIO, TX 78216-6116
(210) 219-9092
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7832
TX
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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