Stovall, Grant

Stovall, Grant is an individual health care provider with primary practice located at Lubbock Sports Medicine Associates 4110 22Nd Pl, Lubbock TX 79410. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Stovall, Grant can be contacted via phone (806) 792-4329.

Contact Information

Primary practice address
Lubbock Sports Medicine Associates 4110 22Nd Pl Lubbock TX 79410
Phone: (806) 792-4329
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 1123412 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT1516 Texas

Profile Details

NPI number 1528031093
LBN Legal business name Stovall, Grant
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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