Individual
THOMAS JASON DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, LAT, ATC
Contact information
Practice address
259 COLORADO ST, VAN, TX 75790-3507
(903) 275-7142
Mailing address
259 COLORADO ST, VAN, TX 75790-3507
(903) 275-7142
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6168
TX
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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