Jacob Fain, MED, LAT

NPI #1669892519 in Stephenville, Texas

Provider Information

NPI Number
1669892519
Entity Type
Individual
Name
Jacob Fain, MED, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MED, LAT
Enumeration Date
Apr 18, 2014
Last Updated
Apr 18, 2014

Practice Location

Address
201 SPRING BOUQUET ST
State
Texas
ZIP Code
76401-1810
Phone
(817) 308-2955

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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