Individual
BRANDEN URBANOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
411 N WILLIE NELSON RD, ABBOTT, TX 76621
(254) 580-3132
Mailing address
411 N WILLIE NELSON RD, ABBOTT, TX 76621-3084
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000033522
TX
Other
Enumeration date
06/26/2018
Last updated
07/07/2018
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