| NPI | 1588030241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL HEDRICK Assistant A.D. Athletic Training 979-862-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine (Licence: TX AT5667) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |