Individual
BRIAN STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
4502 ANTILLEY RD, ABILENE, TX 79606
(325) 523-2074
Mailing address
4502 ANTILLEY RD, ABILENE, TX 79606
(325) 513-2074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT1986
TEXAS DEPARTMENT OF HEALTH
TX
Enumeration date
09/30/2015
Last updated
09/30/2015
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