PHILLIP JASON ALLEN

LEANDER, TX
NPI1922754225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT2250)
Enumeration Date2022-02-24
Last Update Date2022-02-24
Business Address
PHILLIP JASON ALLEN LAT
1320 COLLABORATIVE WAY
LEANDER, TX 78641-9081
Phone number: 125-701-4805
Mailing Address
PHILLIP JASON ALLEN LAT
432 MILLARD ST
GEORGETOWN, TX 78628-2024
Phone number: 512-422-3489