Individual
MR. MICHAEL LOUIE BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8313 LAGO DR, HARLINGEN, TX 78552-6423
(956) 423-0041
Mailing address
8313 LAGO DR, HARLINGEN, TX 78552-6423
(956) 423-0041
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1816
TX
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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