IndividualActive
Adrian Estrada
NPI 1205592409 · Athletic Trainer · Fort Bliss, TX
Provider details
- NPI number
- 1205592409
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT9926 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Practice location
21255 Light Infantry Rd
Fort Bliss, TX 79918-8074
Phone: (575) 640-1346
Approximate (ZIP-level) locationGet directions
Mailing address
1815 Wells St
Las Cruces, NM 88003-1304
Registry dates
- Enumerated
- 2021-11-11
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.