Individual
JOEY FRARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
5617 TREGO ST, THE COLONY, TX 75056-1436
(469) 363-1937
Mailing address
5617 TREGO ST, THE COLONY, TX 75056-1436
(469) 363-1937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
I DON'T KNOW
TX
Enumeration date
04/18/2016
Last updated
04/18/2016
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