Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIAM DAVID ANDERSON JR., MS, ATC, LAT
Active Sole ProprietorMR. WILLIAM DAVID ANDERSON JR., MS, ATC, LAT is a Athletic Trainer healthcare provider located in KILGORE, Texas. NPI 1033129416 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · KILGORE, TX
Registration Details
- NPI Number
- 1033129416
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (19.986210110203 yrs)
- Last Updated
- Oct 24, 2012
- License
-
AT2746 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 BROADWAY BLVDKILGORE, TX, 756623204Browse TX providers · Browse ZIP 75662
- Phone
- 9039838628
- Fax
- 9039887445
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in KILGORE, TX
| Name | Credential | NPI |
|---|---|---|
| MR. DARRELL LAYNE GANUS | MED, LAT, ATC | 1417086141 |
| KASIE BELL | — | 1275131864 |
| MS. LA TAMERA D FRY | LAT | 1700768629 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.