Individual
JUAN MANUEL LIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 UNIVERSITY DR, SAN MARCOS, TX 78666-4684
(512) 245-2561
Mailing address
840 MADISON ST, EAGLE PASS, TX 78852-3914
(830) 325-4448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3900200000X
ATHLETIC TRAINING
TX
Enumeration date
09/03/2018
Last updated
09/03/2018
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