Individual
MR. TAVON LAMAR SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1501 TANGLEROSE CT, DESOTO, TX 75115-7843
(469) 765-7119
Mailing address
1501 TANGLEROSE CT, DESOTO, TX 75115-7843
(469) 765-7119
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000050677
TX
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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