Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Juan Antonio Mancilla Jr.

Individual provider Athletic Trainer · NPI 1255059671

Mr. Juan Antonio Mancilla Jr. is an Athletic Trainer in Lubbock, Texas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3601 4th St
Lubbock, TX 79430-0002
Phone: (806) 743-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1255059671
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 22, 2022
Certification dateAugust 21, 2022

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