Individual
DAVID WAYNE VIACLOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
7404 TOWN CENTER BLVD APT 812, ROSENBERG, TX 77471-6233
(281) 543-7880
(713) 500-0690
Mailing address
7404 TOWN CENTER BLVD APT 812, ROSENBERG, TX 77471-6233
(281) 543-7880
(713) 500-0690
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1534
TX
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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