Individual
JAROD ANTHONY MICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 W AVENUE N, SAN ANGELO, TX 76909-5099
(800) 946-8627
Mailing address
34 CIELO VISTA PLZ APT 10C, SAN ANGELO, TX 76904-6714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8817
TX
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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