Individual
MR. THERON ANDREW ENNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1001 AVENIDA DE LAS AMERICAS, SUITE 200, HOUSTON, TX 77010-6035
(713) 276-7500
Mailing address
6107 GEHRING ST, HOUSTON, TX 77021-1176
(281) 888-4296
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4683
TX
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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