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Individual
BRADY CLINTON TOMLIN
Active
Individual
BRADY CLINTON TOMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, MS
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT7014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000024206
BOC CERTIFICATION NUMBER
—
01
—
AT7014
TEXAS LICENSED ATHLETIC TRAINER
TX
Enumeration date
07/16/2019
Last updated
07/16/2019
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