Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB ELLIS FORKER, LAT, ATC
Active Sole ProprietorMR. JACOB ELLIS FORKER, LAT, ATC is a Athletic Trainer healthcare provider located in HOUSTON, Texas. NPI 1063875151 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HOUSTON, TX
Registration Details
- NPI Number
- 1063875151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2016 (10.37103586437 yrs)
- Last Updated
- Apr 5, 2016
- License
-
AT3298 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7555 HOWELL SUGAR LAND RDHOUSTON, TX, 770833338Browse TX providers · Browse ZIP 77083
- Phone
- 2815411849
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. JULIE DALE PRIETO | ATC | 1790750206 |
| MR. MATTHEW C GORDON | L.A.T., A.T.C. | 1306812342 |
| MR. MICHAEL ANDREW FOULDS | A.T.C; L.A.T. | 1205893906 |
| JAMES K WILSON | A.T.C., L.A.T. | 1922036425 |
| MS. SUSAN E SMITH | ATC LAT | 1447289764 |
| MR. MICHAEL EDWARD O'SHEA | ATC/LAT | 1174555346 |
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.