Individual
ANDRES REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2802 54TH ST, LUBBOCK, TX 79413-4906
(432) 664-2475
Mailing address
2802 54TH ST, LUBBOCK, TX 79413-4906
(432) 664-2475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5112
TX
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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