Individual
BAILEY ALLEN BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7915 W LOOP 1604 N, SAN ANTONIO, TX 78254-4659
(254) 335-0101
Mailing address
5700 N KNOLL APT 205, SAN ANTONIO, TX 78240-2253
(916) 690-4355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000040685
CA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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