Individual
GERARDO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
715 INSPIRATION DR, SAN ANTONIO, TX 78228-1740
(210) 831-3142
Mailing address
715 INSPIRATION DR, SAN ANTONIO, TX 78228-1740
(210) 831-3142
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4458
TX
Other
Enumeration date
07/24/2016
Last updated
07/24/2016
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