Individual
BRANDON SPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3045 MARINA BAY DR, APT. 10310, LEAGUE CITY, TX 77573-2737
(817) 253-8324
Mailing address
3045 MARINA BAY DR, APT. 10310, LEAGUE CITY, TX 77573-2737
(817) 253-8324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/15/2016
Last updated
10/15/2016
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