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Individual

MR. JOSHUA DAVID POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSAT, LAT, ATC

Contact information

Practice address
205 FM1095, ELMATON, TX 77440
(979) 843-4300
Mailing address
4901 MISTY LN APT 106, BAY CITY, TX 77414-8452
(832) 353-6100

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9394
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
N/A
Enumeration date
03/09/2022
Last updated
04/01/2024
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