Individual
DOUG BLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3133 GOOD SHEPHERD WAY, LONGVIEW, TX 75605-7921
(903) 323-6582
(903) 323-6564
Mailing address
312 E. HILLCREST, WHITE OAK, TX 75693
(903) 235-7993
(903) 323-6564
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1371
TX
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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