Individual
DARLA F GLEAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.T.
Contact information
Practice address
4642 N LOOP 289, SUITE 101, LUBBOCK, TX 79416-2409
(806) 797-4985
Mailing address
9703 ORLANDO AVE APT A, LUBBOCK, TX 79423-3986
(806) 241-8087
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2443
TX
Other
Enumeration date
10/05/2006
Last updated
09/12/2013
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