Individual
MR. COREY TAYLOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, L
Contact information
Practice address
1101 OHIO DR, SUITE 110, PLANO, TX 75093-5330
(972) 985-2622
Mailing address
10712 TALLAHASSEE DR, FRISCO, TX 75035-7683
(214) 705-7327
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3189
TX
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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