Individual
JULIANNE GOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2800 E SPRING CREEK PKWY, PLANO, TX 75074-3300
(940) 881-5630
Mailing address
305 RIVER FERN AVE APT 1115, GARLAND, TX 75040-2400
(210) 842-1165
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
AT4869
TX
2083S0010X
Sports Medicine (Preventive Medicine) Physician
AT4869
TX
2255A2300X
Athletic Trainer
Primary
AT4869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000005791
NATIONAL ATHLETIC TRAINING CERTIFICATION
—
01
—
AT4869
TEXAS ATHLETIC TRAINING LICENSE
TX
Enumeration date
12/09/2021
Last updated
12/09/2021
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