Individual
MR. FABRICIO BERLANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT LICENSE-AT5556
Contact information
Practice address
1100 COLLEGE CIR, RANGER, TX 76470-3203
(254) 716-7414
Mailing address
1010 N 17TH ST, WACO, TX 76707-3022
(254) 716-7414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5556
TX
Other
Enumeration date
01/24/2017
Last updated
02/24/2020
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