Organization
JJ PEARCE HIGH SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY L SKIDMORE ATC/LAT (HEAD ATHLETIC TRAINER)
(469) 593-5033
Entity
Organization
Contact information
Practice address
1600 N COIT RD, RICHARDSON, TX 75080-2805
(469) 593-5033
Mailing address
1600 N COIT RD, RICHARDSON, TX 75080-2805
(469) 593-5033
(469) 593-5170
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
AT2456
TX
Other
Enumeration date
04/20/2006
Last updated
08/22/2020
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