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Individual

MR. GLENN R SCHWAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
1001 E UNIVERSITY AVE, GEORGETOWN, TX 78626-6100
(512) 863-1697
(512) 863-1393
Mailing address
PO BOX 770, GEORGETOWN, TX 78627-0770
(512) 863-1697
(512) 683-1393

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2559
TX

Other

Enumeration date
12/13/2017
Last updated
12/13/2017
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