Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN GREGORY MCDOUGAL, ATC, LAT
Active Sole ProprietorJORDAN GREGORY MCDOUGAL, ATC, LAT is a Athletic Trainer healthcare provider located in STAFFORD, Texas. NPI 1720509987 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STAFFORD, TX
Registration Details
- NPI Number
- 1720509987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2017 (9.0915734452687 yrs)
- Last Updated
- Jun 28, 2017
- License
-
AT6312 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1625 STAFFORDSHIRE RDSTAFFORD, TX, 774776326Browse TX providers · Browse ZIP 77477
- Phone
- 2818619200
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STAFFORD, TX
| Name | Credential | NPI |
|---|---|---|
| DAVID L EDELL | LAT, ATC, CSCS | 1124055090 |
| ASHLEY MARIE ARMBRUSTER | ATC, LAT | 1851795082 |
| SHELBY NICOLE GAYTAN | — | 1255286456 |
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.