JOSE L CARRILLO

CEDAR PARK, TX
NPI1760126254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX  AT2297)
Enumeration Date2022-04-21
Last Update Date2022-04-21
Business Address
JOSE L CARRILLO LAT, ATC
200 S VISTA RIDGE PKWY
CEDAR PARK, TX 78613-3901
Phone number: 512-570-1846
Mailing Address
JOSE L CARRILLO LAT, ATC
4109 WHITECREST CV
ROUND ROCK, TX 78681-1134
Phone number: 512-619-0237