Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN WISE HARGROVE, ATC, LAT
Active Sole ProprietorMR. JUSTIN WISE HARGROVE, ATC, LAT is a Athletic Trainer healthcare provider located in MOUNT PLEASANT, Texas. NPI 1114340387 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MOUNT PLEASANT, TX
Registration Details
- NPI Number
- 1114340387
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2014 (12.567658695489 yrs)
- Last Updated
- Sep 7, 2016
- License
-
AT1938 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2110 N EDWARDS AVEMOUNT PLEASANT, TX, 754552011Browse TX providers · Browse ZIP 75455
- Phone
- 9034348584
- Fax
- 9035775550
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MOUNT PLEASANT, TX
| Name | Credential | NPI |
|---|---|---|
| ALEXANDER LEONARD FELLOWS | ATC, LAT, MED | 1992359863 |
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.