Dustin Ross Emery, MAT, LAT, ATC

Individual provider Active NPI Athletic Trainer · Van Alstyne, TX

NPI 1659901809 · NPPES record last updated Jan 16, 2020

Key facts

NPI
1659901809
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT6681 (TX)
Practice address
1722 N Waco St
Van Alstyne, TX 75495-4394
Phone
(903) 482-8803
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
No

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
AT6681TXMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT6681 TX Yes

Addresses

Primary practice location

1722 N Waco St
Van Alstyne, TX 75495-4394

Mailing address

1722 N Waco St
Van Alstyne, TX 75495-4394
Phone (903) 482-8803

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Rankone

Other providers in Van Alstyne, TX

All providers in Van Alstyne, TX · Athletic Trainer in Texas

Sources for this page

Verify at the official NPI Registry.