Individual
MR. MICHAEL OVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
14250 FM 1488 RD, MAGNOLIA, TX 77354-1664
(281) 356-3572
Mailing address
PO BOX 122, MAGNOLIA, TX 77353-0122
(281) 615-0691
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
120102023
TX
2255A2300X
Athletic Trainer
Primary
AT2477
TX
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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