Individual
MICHAEL BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC, PES
Contact information
Practice address
TCU SPORTS MEDICINE, TCU BOX 297600, FORT WORTH, TX 76129-0001
(817) 257-6649
(817) 257-7323
Mailing address
TCU SPORTS MEDICINE, TCU BOX 297600, FORT WORTH, TX 76129-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2306
MA
2255A2300X
Athletic Trainer
Primary
AT5688
TX
Other
Enumeration date
04/10/2013
Last updated
11/26/2014
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