Robert Augustus Stevenson in Kennedale - Athletic Trainer
Robert Augustus Stevenson - NPI 1578687158
Robert Augustus Stevenson is a Athletic Trainer in Kennedale, Texas. Robert Augustus Stevenson practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Robert Augustus Stevenson is 1578687158. The last update date is 2015-01-21.
Robert Augustus Stevenson's current location address is 901 Wildcat Way, Kennedale, Texas. You can contact this provider via phone number 8175638133 and fax number 8175633717. The mailing address for Robert Augustus Stevenson is 901 Wildcat Way, Kennedale, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Augustus Stevenson |
|---|---|
| Address | 901 Wildcat Way, Kennedale, Texas |
| Phone Number | 8175638133 |
| Fax Number | 8175633717 |
| Sole Proprietor | Y |
| Credentials | ATC,LAT,CS |
NPI Number Detail
| NPI Number | 1578687158 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2015-01-21 |
Provider Mailing Address Detail
| Address | 901 Wildcat Way |
|---|---|
| City | Kennedale |
| State | Texas (TX) |
| Post Code | 760605848 |
| Phone Number | 8175638133 |
| Fax Number | 8175633717 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT3639 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the Robert Augustus Stevenson's 1578687158?
The Robert Augustus Stevenson's NPI (National Provider Identifier) Number is 1578687158. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert Augustus Stevenson's physical address?
The Robert Augustus Stevenson is physically located at 901 Wildcat Way, in the city of Kennedale, TX, with the postal code 760605848.
What is Robert Augustus Stevenson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert Augustus Stevenson is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578687158 to Robert Augustus Stevenson?
The Centers for Medicare & Medicaid Services assigned the 1578687158 to Robert Augustus Stevenson on 2007-03-19.
As of what date were the details related to Robert Augustus Stevenson most recently updated or revised?
The information pertaining to Robert Augustus Stevenson, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-21.