Individual
GREG BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T., A.T.C.
Contact information
Practice address
200 S BLUE RIDGE PKWY, CEDAR PARK, TX 78613-3026
(512) 694-8391
Mailing address
200 S BLUE RIDGE PKWY, CEDAR PARK, TX 78613-3026
(512) 694-8391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0591
TX
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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