Individual
MR. TIMOTHY DAVID FERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/LAT.
Contact information
Practice address
700 E 2 MILE LINE RD, MISSION, TX 78574-1759
(956) 323-3000
Mailing address
1418 LAS BRISAS DR, MISSION, TX 78574-2784
(956) 874-3300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000042585
NATIONAL ATHLETIC TRAINERS ASSOCIATION
TX
01
—
AT4129
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
08/30/2006
Last updated
06/19/2014
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