Individual
ETHAN TROY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T
Contact information
Practice address
601 PATE ORR RD N, KELLER, TX 76248-4209
(817) 744-1465
(817) 744-1503
Mailing address
601 PATE ORR RD N, KELLER, TX 76248-4209
(817) 744-1465
(817) 744-1503
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2055
TX
Other
Enumeration date
08/25/2007
Last updated
08/25/2007
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