Individual
BRADLEY SCOTT DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
202 BOULDER RIDGE ST, DEL RIO, TX 78840-2104
(830) 768-1413
Mailing address
202 BOULDER RIDGE ST, DEL RIO, TX 78840-2104
(830) 768-1413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1567
TX
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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