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
- City
- Horizon City
- State
- Texas
- ZIP Code
- 79928-8639
- Phone
- (270) 823-3597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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