Individual
MR. BRYAN WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
LKD CENTER 500 W UNIVERSITY AVE, EL PASO, TX 79968-0001
(915) 747-6801
Mailing address
LKD CENTER 500 W UNIVERSITY AVE, EL PASO, TX 79968-0001
(915) 747-6801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7006
TX
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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