Individual
BRENDAN PATRICK OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1613 SALADO TRAIL, WEATHERFORD, TX 76087
(817) 565-2524
Mailing address
1613 SALADO TRAIL, WEATHERFORD, TX 76087
(817) 565-2524
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34720404102
GRAVIE
TX
Enumeration date
06/12/2024
Last updated
06/12/2024
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