Individual
MR. WILLIAM DAVID ANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1100 BROADWAY BLVD, KILGORE, TX 75662-3204
(903) 983-8628
(903) 988-7445
Mailing address
7305 BEVERLY DR, ROWLETT, TX 75089-8819
(972) 412-2987
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2746
TX
Other
Enumeration date
08/09/2006
Last updated
10/24/2012
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