ANGELIQUE BLAIR CARMOUCHE MAT, LAT,ATC
Individual Provider (NPI-1)
Active
Preventive Medicine, Sports Medicine
Provider Information
- NPI Number
1396307476- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MAT, LAT,ATC
- Status
- Active
Contact & Location
- Address
- ASU STATION #10899, SAN ANGELO, TX, 769090001
- Phone
- (940) 435-4347
Specialties & Taxonomies
Preventive Medicine, Sports Medicine
License: LA #319966
Preventive Medicine, Sports Medicine
Primary License: TX #AT8258