Individual
DAM BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 LUTHER ST W APT 1623, COLLEGE STATION, TX 77840-2797
(319) 621-1940
Mailing address
601 LUTHER ST W APT 1623, COLLEGE STATION, TX 77840-2797
(319) 621-1940
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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