Individual
ALBERT JACOB PUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1101 NORTH Q AVE, CLIFTON, TX 76708
(254) 640-3306
Mailing address
3015 MITCHELL AVE, WACO, TX 76708-2662
(254) 640-3306
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5025
TX
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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