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Individual

MR. RICKY H ALCANTARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
903 WESTMOUNT AVE, DALLAS, TX 75211-2585
(214) 417-3922
Mailing address
903 WESTMOUNT AVE, DALLAS, TX 75211-2585
(214) 417-3922

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2755
TX

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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