Individual
ANDREW STAEHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
712 HAYTER ST, NACOGDOCHES, TX 75962-0001
(920) 400-0781
Mailing address
PO BOX 13010, NACOGDOCHES, TX 75962-3010
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT7675
TX
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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