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Louis Edward Duran, ATC, LAT

Specialist/Technologist, Athletic Trainer in Tuscaloosa, AL. Individual provider (NPI-1).

NPI number1174875694
StatusActive
Last updated in NPPESMay 9, 2014

Details

NPI
1174875694
Entity type
Individual (NPI-1)
Name
Louis Edward Duran
Credential
ATC, LAT
Sex
Male
Sole proprietor
No
Enumeration date
Oct 8, 2012
Last updated
May 9, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT5171TXYes

Practice location

323 Paul Bryant Dr.
Athletic Training Room
Tuscaloosa, AL 35401

Phone 205-348-3612 · Fax 205-348-3664

Mailing address

8604 Valley Ranch Pkwy W
#3011
Irving, TX 75063-4145

Phone 210-632-4098

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