Individual
ANALISA ARGUELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
205 DANDELION LN, SAN ANTONIO, TX 78213-2506
(210) 508-9023
Mailing address
205 DANDELION LN, SAN ANTONIO, TX 78213-2506
(210) 508-9023
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8633
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT8633
TDLR
TX
01
—
BOC389066
BOARD OF CERTIFICATION
—
Enumeration date
02/25/2020
Last updated
06/01/2021
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