Individual
DEVAN NEAL GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
400 BIZZELL STREET, COLLEGE STATION, TX 77843-0001
(979) 845-3211
Mailing address
400 BIZZELL STREET, COLLEGE STATION, TX 77843-0001
(979) 845-3211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8639
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/10/2019
Last updated
06/04/2021
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