Individual
CORY PENFOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6020 W PARKER RD STE 300, PLANO, TX 75093-8177
(469) 754-8726
Mailing address
2816 S GLENBROOK DR, GARLAND, TX 75041-2929
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7728
TX
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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