Individual
JOSH HAYDEN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
5800 OWNBY DR, DALLAS, TX 75275-0315
(214) 768-1964
(214) 768-1225
Mailing address
5800 OWNBY DR, PO BOX 750315, DALLAS, TX 75275-0315
(214) 768-1964
(214) 768-1225
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT2649
STATE LICENSURE
TX
Enumeration date
03/06/2007
Last updated
07/08/2007
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