Benjy Lee Melancon, A.T.C., L.A.T.
NPI #1649215310 in Gainesville, Texas
Provider Information
- NPI Number
- 1649215310
- Entity Type
- Individual
- Name
- Benjy Lee Melancon, A.T.C., L.A.T.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C., L.A.T.
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1201 S LINDSAY ST
- City
- Gainesville
- State
- Texas
- ZIP Code
- 76240-5661
- Phone
- (940) 736-6834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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