Individual
BRANDON T HARRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9019 SUMMIT LK, SAN ANTONIO, TX 78245-1843
(979) 422-1246
Mailing address
9019 SUMMIT LK, SAN ANTONIO, TX 78245-1843
(979) 422-1246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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