Individual
JESSICA M MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
1100 S COULTER ST, AMARILLO, TX 79106-1836
(806) 468-9700
(806) 322-2344
Mailing address
1100 S COULTER ST, AMARILLO, TX 79106-1836
(806) 468-9700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2929
TX
Other
Enumeration date
07/29/2019
Last updated
01/13/2020
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