Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STUART JACKSON, LAT
Active Sole ProprietorSTUART JACKSON, LAT is a Athletic Trainer healthcare provider located in DICKINSON, Texas. NPI 1083064851 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DICKINSON, TX
Registration Details
- NPI Number
- 1083064851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2016 (10.165961816241 yrs)
- Last Updated
- Jun 13, 2016
- License
-
AT4250 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2806 WOODLAWN STDICKINSON, TX, 775394668Browse TX providers · Browse ZIP 77539
- Phone
- 2817023285
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DICKINSON, TX
| Name | Credential | NPI |
|---|---|---|
| MR. JONATHAN RAY MAYES | MAT, ATC, LAT | 1003052481 |
| YAZMIN LARA | — | 1487136545 |
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.