Individual
BRUCE NIESCHWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3845 CLOVER DR, ALVIN, TX 77511-5030
(281) 756-0693
Mailing address
3845 CLOVER DR, ALVIN, TX 77511-5030
(281) 756-0693
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1876
TX
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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