Individual
MR. ROBERT AUGUSTUS STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,LAT,CSCS
Contact information
Practice address
901 WILDCAT WAY, KENNEDALE, TX 76060-5848
(817) 563-8133
(817) 563-3717
Mailing address
625 BENT OAK DR, FORT WORTH, TX 76131-4231
(817) 360-5859
(817) 563-3717
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3639
TX
Other
Enumeration date
03/19/2007
Last updated
01/21/2015
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