Individual
JESSICA STAUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1939 BEL AIR DR, ARLINGTON, TX 76010-2114
(805) 558-4240
Mailing address
PO BOX 2047, ROCKWALL, TX 75087-4447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000036619
—
2255A2300X
Athletic Trainer
AT7974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750415
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
01
—
E3171002
NREMT
—
Enumeration date
06/03/2021
Last updated
06/03/2021
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