Individual
MR. KEVIN HINES BASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4402 DANBURY LN, SUGAR LAND, TX 77479-3821
(832) 667-2214
Mailing address
4402 DANBURY LN, SUGAR LAND, TX 77479-3821
(832) 667-2214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2466
TX
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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