Organization
1P410 SPORTS PERFORMANCE
Active
Other names
Athletic Republic-The Woodlands
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK RAYMER D.C. (DIRECTOR OF SPORTS PERFORMANCE)
(832) 791-5954
Entity
Organization
Contact information
Practice address
7 PLAYER GROVE CT, THE WOODLANDS, TX 77382-2124
(832) 791-5954
Mailing address
7 PLAYER GROVE CT, THE WOODLANDS, TX 77382-2124
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
12247
TX
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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