Individual
MR. JOHN DANIEL SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, ATC, LAT
Contact information
Practice address
2890 MCALPIN RD, MIDLOTHIAN, TX 76065-5716
(936) 552-1170
Mailing address
2890 MCALPIN RD, MIDLOTHIAN, TX 76065-5716
(936) 552-1170
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT2433
ATHLETIC TRAINER'S LICENS
TX
Enumeration date
12/21/2006
Last updated
11/18/2015
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