Healthcare Provider Details

I. General information

NPI: 1427188556
Provider Name (Legal Business Name): DARCY L. DOWNEY ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SAN JACINTO BELMONT HALL
AUSTIN TX
78713-7399
US

IV. Provider business mailing address

225 JERRY LEES TRL
KYLE TX
78640-5668
US

V. Phone/Fax

Practice location:
  • Phone: 512-471-4916
  • Fax: 512-232-5054
Mailing address:
  • Phone: 512-262-0224
  • Fax: 512-232-5054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT1438
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: