Jacob Vernon Waldecker

NPI #1801549035 in Horizon City, Texas

Provider Information

NPI Number
1801549035
Entity Type
Individual
Name
Jacob Vernon Waldecker
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jan 28, 2022
Last Updated
Jan 28, 2022

Practice Location

Address
14651 HORIZON BLVD
State
Texas
ZIP Code
79928-8639
Phone
(270) 823-3597

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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