Individual
PAUL TAYLOR ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
11672 STOCKMEYER DR, EL PASO, TX 79936-0813
(915) 252-3211
Mailing address
11672 STOCKMEYER DR, EL PASO, TX 79936-0813
(915) 252-3211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7859
TX
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/24/2019
Last updated
01/26/2021
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