Individual
ANTHONY DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 PROCTER ST, PORT ARTHUR, TX 77640-6604
(713) 252-3596
Mailing address
PO BOX 310, PORT ARTHUR, TX 77641-0310
(713) 252-3596
(409) 984-6067
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5452
TX
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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