Individual
AUGUSTA JEAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 N BLUE MOUND RD, SAGINAW, TX 76131-1052
(970) 819-2931
Mailing address
800 N BLUE MOUND RD, SAGINAW, TX 76131-1052
(817) 306-0914
(817) 847-9308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT 655
AR
2255A2300X
Athletic Trainer
Primary
AT7103
TX
Other
Enumeration date
04/15/2015
Last updated
03/29/2022
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