IndividualActive
Angelique Carmouche, MAT, LAT,ATC
NPI 1396307476 · Sports Medicine (Preventive Medicine) Physician · San Angelo, TX
Provider details
- NPI number
- 1396307476
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MAT, LAT,ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 319966 (LA)
Mailing address
Lsu Athletic Administration Building
Baton Rouge, LA 70803-0001
Registry dates
- Enumerated
- 2019-06-28
- Last updated
- 2021-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.