Individual
STEPHEN CAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, ATC, LAT
Contact information
Practice address
3900 UNIVERSITY BLVD, TYLER, TX 75799-6600
(830) 305-0317
Mailing address
1909 SHILOH RD APT 58, TYLER, TX 75703-2630
(830) 305-0317
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4709
TX
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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