Organization
CS INNOVATIVE FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR JAMES CARNEY M.S. (OWNER)
(979) 595-3080
Entity
Organization
Contact information
Practice address
3024 TEXAS AVE SOUTH, COLLEGE STATION, TX 77845
(979) 595-3080
Mailing address
3024 TEXAS AVE SOUTH, COLLEGE STATION, TX 77845
(979) 595-3080
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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