Theophile Belhomme
Specialist/Technologist, Athletic Trainer in Lubbock, TX. Individual provider (NPI-1).
NPI number1104380138
StatusActive
Last updated in NPPESJan 23, 2019
Details
- NPI
- 1104380138
- Entity type
- Individual (NPI-1)
- Name
- Theophile Belhomme
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2019
- Last updated
- Jan 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
3601 4th StLubbock, TX 79430-0002
Phone 806-743-1000
Mailing address
5401 Kemper St Unit ALubbock, TX 79416-7082
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