SearchTexas2255A2300X

Derek Stevenson, LAT, ATC

NPI 1710387469 · on the registry since 2014 · sole proprietor

Practice

Address
227 Hoot Owl Ln N
Leander, TX 78641
Phone
(512) 297-3126

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas