Minette Bazan, LAT
NPI #1023882743 in Rio Grande City, Texas
Provider Information
- NPI Number
- 1023882743
- Entity Type
- Individual
- Name
- Minette Bazan, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT
- Enumeration Date
- Nov 13, 2023
- Last Updated
- Nov 13, 2023
Practice Location
- Address
- 1 S FORT RINGGOLD ST
- City
- Rio Grande City
- State
- Texas
- ZIP Code
- 78582-4701
- Phone
- (956) 370-3415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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