Individual
MR. BRENT SIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
22784 HIGHWAY 59, PORTER, TX 77365-6425
(281) 577-8630
Mailing address
22784 HIGHWAY 59, PORTER, TX 77365-6425
(281) 577-8630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
069402691
—
2255A2300X
Athletic Trainer
AT1217
TX
Other
Enumeration date
01/05/2012
Last updated
01/04/2017
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