Individual
ADRIAN CLINT ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21255 LIGHT INFANTRY RD, FORT BLISS, TX 79918-8074
(575) 640-1346
Mailing address
1815 WELLS ST, LAS CRUCES, NM 88003-1304
(575) 640-1346
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-2024-0002
NM
2255A2300X
Athletic Trainer
AT9926
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/11/2021
Last updated
11/24/2025
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