Leroy Sam, ATC, LAT, LMT
Specialist/Technologist, Athletic Trainer in Dallas, TX. Individual provider (NPI-1).
NPI number1669925087
StatusActive
Last updated in NPPESAug 2, 2016
Details
- NPI
- 1669925087
- Entity type
- Individual (NPI-1)
- Name
- Leroy Sam
- Credential
- ATC, LAT, LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2016
- Last updated
- Aug 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT6743 | TX | Yes |
Practice location
6060 Dilbeck LnDallas, TX 75240-5351
Phone 972-385-3643
Mailing address
943 Lake Grove DrLittle Elm, TX 75068-8447
Phone 504-701-6845
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