Individual
NICOLAS BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1510 POLK ST, HOUSTON, TX 77002-7130
(713) 391-4362
(713) 391-4362
Mailing address
4400 MEMORIAL DR APT 1099, HOUSTON, TX 77007-6300
(512) 705-1351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030300
TX
Other
Enumeration date
10/18/2017
Last updated
10/19/2017
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