Individual provider · Type 1 NPI
Joe Glen Briley, ATC, LAT
Specialist · San Angelo, TX
NPI number
1760687883
Active
Practice location
3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Fax (325) 224-9511
Mailing address
3840 Honeysuckle Ln
San Angelo, TX 76904-5728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | AT1879 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1760687883
Joe Glen Briley, ATC, LAT's National Provider Identifier is 1760687883, issued on Jun 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Angelo, TX. The record was last updated on Jul 8, 2007.