Individual
MR. JUSTIN WISE HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2110 N EDWARDS AVE, MOUNT PLEASANT, TX 75455-2011
(903) 434-8584
(903) 577-5550
Mailing address
PO BOX 1184, MOUNT PLEASANT, TX 75456-1184
(903) 305-6456
(903) 577-5550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1938
TX
Other
Enumeration date
01/24/2014
Last updated
09/07/2016
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