Individual
MR. MICHAEL CHARLES WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
2139 SAN JACINTO BLVD, UNIVERSITY OF TEXAS ATHLETICS, NEZ B1.024A, AUSTIN, TX 78712
(512) 232-3939
(512) 232-5054
Mailing address
PO BOX 7399, UNIVERSITY OF TEXAS ATHLETICS, AUSTIN, TX 78713-7399
(512) 232-3939
(512) 232-5054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT4175
TX
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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