Individual
SUSAN SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13125 W HIGHWAY 29, LIBERTY HILL, TX 78642
(512) 379-3300
Mailing address
1430 MAIN ST APT H2, CEDAR PARK, TX 78613-0080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6910
TX
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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