Individual
MR. AUBRY BLANCHARD FISK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2535 IRA E WOODS AVE, GRAPEVINE, TX 76051-3930
(817) 481-2121
(817) 488-4493
Mailing address
6272 GLENVIEW DR APT 173, NORTH RICHLAND HILLS, TX 76180-9200
(817) 999-2042
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0160
TX
Other
Enumeration date
02/17/2006
Last updated
01/21/2016
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