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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOSE ENRIQUE PORTALES, ATC, LAT

Active

MR. JOSE ENRIQUE PORTALES, ATC, LAT is a Athletic Trainer healthcare provider located in KENNEDALE, Texas. NPI 1659879021 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · KENNEDALE, TX

Registration Details

NPI Number
1659879021
Provider Type
Individual
Gender
Male
NPI Issued
Jan 31, 2018 (8.5101658800355 yrs)
Last Updated
Jan 31, 2018
License
AT6642 (TX)

Practice Information

Address
901 WILDCAT WAY
KENNEDALE, TX, 760605848
Browse TX providers · Browse ZIP 76060
Phone
8175638133
Fax
8175638133
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in KENNEDALE, TX

Name Credential NPI
MR. ROBERT AUGUSTUS STEVENSON ATC,LAT,CSCS 1578687158
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.