Individual
KLEY ALAN CULBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
5669 FM 1044, NEW BRAUNFELS, TX 78130-9107
(361) 920-6354
Mailing address
5669 FM 1044, NEW BRAUNFELS, TX 78130-9107
(361) 920-6354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
923194619
UNITED HEALTHCARE
TX
Enumeration date
02/04/2021
Last updated
02/04/2021
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