| NPI | 1871522714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R. SIMS Director Of Sports Medicine 254-710-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT0552) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |