Individual
MR. JOSEPH HENRY DANNENBAUM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
TAMU MS 4243, COLLEGE STATION, TX 77843-4243
(979) 862-4830
Mailing address
PO BOX D10, COLLEGE STATION, TX 77844-9040
(979) 691-0620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3637
TX
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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