Individual
NICOLE LEAH SPITZENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19226 COUNTRY VILLAGE DR, SPRING, TX 77388-3055
(281) 787-9915
Mailing address
19226 COUNTRY VILLAGE DR, SPRING, TX 77388-3055
(281) 787-9915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
739669
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
04/03/2019
Last updated
04/03/2019
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