Individual
AUSTIN DOUGLAS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
300A UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 673-8275
Mailing address
1021 MELANIES WALK, PFLUGERVILLE, TX 78660-3209
(512) 673-8275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7425
TX
Other
Enumeration date
09/10/2019
Last updated
11/27/2023
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