Provider Demographics
NPI:1912405838
Name:HOWARD, JAMES SCOTT (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:SCOTT
Last Name:HOWARD
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19000 RONALD REAGAN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3914
Mailing Address - Country:US
Mailing Address - Phone:210-356-1800
Mailing Address - Fax:
Practice Address - Street 1:19000 RONALD REAGAN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3914
Practice Address - Country:US
Practice Address - Phone:210-356-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT17682255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer