Deziree T Propes

Individual provider Active NPI Athletic Trainer · Galena Park, TX

NPI 1053987453 · NPPES record last updated May 27, 2021

Key facts

NPI
1053987453
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT6964 (TX)
Practice address
1703 11TH St
Galena Park, TX 77547-2905
Phone
(713) 373-1475
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AT6964TXMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT6964 TX Yes

Addresses

Primary practice location

1703 11TH St
Galena Park, TX 77547-2905

Mailing address

1703 11TH St
Galena Park, TX 77547-2905
Phone (713) 373-1475

Other identifiers

IdentifierTypeStateIssuer
AT6996OtherTXLAT

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL dpropes@galenaparkisd.com Direct

Other providers in Galena Park, TX

All providers in Galena Park, TX · Athletic Trainer in Texas

Sources for this page

Verify at the official NPI Registry.