Individual
MR. JORDAN MATTHEW WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
700 EAGLE DR, DESOTO, TX 75115-6004
(972) 979-0527
Mailing address
4207 HIDEAWAY DR, ARLINGTON, TX 76017-3300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000019148
—
2255A2300X
Athletic Trainer
AT6192
TX
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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