Individual
MR. RANDELL GENE MATTHEWS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC., LAT
Contact information
Practice address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-4357
(325) 224-5911
Mailing address
3107 HEMLOCK DR, SAN ANGELO, TX 76904-6118
(325) 944-3688
(325) 224-5911
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0374
TX
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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