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Individual

T ROSS BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC., LAT

Contact information

Practice address
3500 BELLAIRE DR N, TCU ATHLETICS DEPT., FORT WORTH, TX 76129-0001
(817) 257-7009
Mailing address
7625 RAMBLE WOOD TRL, FORT WORTH, TX 76132-3509
(817) 257-7009

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
412
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2255A2300X
ATHLETIC TRAINER
TX
Enumeration date
07/20/2006
Last updated
07/08/2007
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