Individual
ALEX JACE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
309 S MEDFORD DR, LUFKIN, TX 75901-5245
(936) 632-7656
Mailing address
108 REGISTER CT, LUFKIN, TX 75901-7950
(509) 599-0332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7106
TX
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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