Individual
JUSTIN BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1002 TEXAN TRL, CORPUS CHRISTI, TX 78411-2530
(361) 806-5300
Mailing address
5757 S STAPLES ST, #3010, CORPUS CHRISTI, TX 78413-3732
(361) 533-2529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3618
TX
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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