Individual
MR. MATTHEW JASON DOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2317 KENT ST, BRYAN, TX 77802-1936
(979) 575-1506
(979) 458-1055
Mailing address
2317 KENT ST, BRYAN, TX 77802-1936
(979) 575-1506
(979) 458-1055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2540
TX
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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