Individual
JESUS HOLGUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
12350 TIMBERLAND BLVD, FORT WORTH, TX 76244-5558
(903) 387-1226
Mailing address
3805 BROKEN PINE TRL, FORT WORTH, TX 76137-6041
(903) 387-1226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
02621
TX
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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