Individual
JORDAN GREGORY MCDOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1625 STAFFORDSHIRE RD, STAFFORD, TX 77477-6326
(281) 861-9200
Mailing address
18545 UNIVERSITY BLVD APT 324, SUGAR LAND, TX 77479-4353
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6312
TX
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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