Individual
BERNARD JOSEPH LOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4301 BROADWAY ST, SAN ANTONIO, TX 78209-6318
(210) 829-3834
(210) 841-7324
Mailing address
4301 BROADWAY ST, CPO 288, SAN ANTONIO, TX 78209-6318
(210) 283-6481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT1289
OH
2255A2300X
Athletic Trainer
Primary
AT2804
TX
Other
Enumeration date
04/21/2006
Last updated
01/21/2015
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