Individual
LUIS ANTUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 9TH AVE N, TEXAS CITY, TX 77590-5449
(409) 457-4457
Mailing address
623 WISTERIA ST, LA MARQUE, TX 77568-4459
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2018
Last updated
11/02/2023
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