Individual
JUSTIN LEE LANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
2818 FAIR CHASE, KATY, TX 77494
(281) 220-9912
Mailing address
2818 FAIR CHASE, KATY, TX 77494
(281) 220-9912
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2524
TX
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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