Individual
BIANCA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
13470 FM 1485 RD, CONROE, TX 77306-8119
(936) 709-2000
Mailing address
13470 FM 1485 RD, CONROE, TX 77306-8119
(936) 709-2000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6269
TX
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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