Individual
BRENT H JACO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS
Contact information
Practice address
7717 BELUCHE DR, GALVESTON, TX 77551-1521
(409) 741-5526
Mailing address
7717 BELUCHE DR, GALVESTON, TX 77551-1521
(409) 741-5526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1342
TX
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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