Individual
MR. SAMUEL ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1301 S. BONNIE BRAE ST., DENTON, TX 76207
(940) 565-2662
Mailing address
1301 S. BONNIE BRAE ST., DENTON, TX 76207
(940) 565-2662
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5903
TX
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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