Individual provider · Type 1 NPI
Angelique Blair Carmouche, MAT, LAT, ATC
Sports Medicine (Preventive Medicine) Physician · San Angelo, TX
NPI number
1396307476
Active
Practice location
Asu Station #10899
San Angelo, TX 76909-0001
Mailing address
Lsu Athletic Administration Building
Baton Rouge, LA 70803-0001
Other practice locations
- Lsu Athletic Administration Building, Baton Rouge, LA 70803-0001 · (225) 578-8001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 319966 (LA) |
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | AT8258 (TX) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
5 other providers at this address
- Douglas Chace, LAT, ATCAthletic Trainer San Angelo, TX NPI 1114517976
- Ryan Johnson, LAT, ATCAthletic Trainer San Angelo, TX NPI 1790181212
- Thomas Joseph Patrey Ii, LAT, ATCAthletic Trainer San Angelo, TX NPI 1992253587
- Troy J. Hill, ATCAthletic Trainer San Angelo, TX NPI 1710577242
- Troy Wilde, LATAthletic Trainer San Angelo, TX NPI 1770174161
About NPI 1396307476
Angelique Blair Carmouche, MAT, LAT, ATC's National Provider Identifier is 1396307476, issued on Jun 28, 2019. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in San Angelo, TX. The record was last updated on Jan 25, 2021.