Individual
MR. WILLIAM PARKER BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3304 COLONIAL DR, NACOGDOCHES, TX 75965-3079
(936) 559-1213
Mailing address
3304 COLONIAL DR, NACOGDOCHES, TX 75965-3079
(936) 559-1213
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3013
TX
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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