Organization
UNIVERSITY OF MARY HARDIN-BAYLOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLASHA DAVIS ATC, LAT (ASSISTANT ATHLETIC TRAINER)
(254) 295-5034
Entity
Organization
Contact information
Practice address
900 COLLEGE ST # 8011, BELTON, TX 76513-2578
(254) 295-5034
Mailing address
900 COLLEGE ST # 8011, BELTON, TX 76513-2578
(254) 295-5034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000022284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINER
TX
Enumeration date
08/10/2015
Last updated
08/10/2015
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