Individual
DONOVAN DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CES
Contact information
Practice address
15413 BEDROCK DR, CORPUS CHRISTI, TX 78410-5745
(512) 550-0296
Mailing address
15413 BEDROCK DR, CORPUS CHRISTI, TX 78410-5745
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5522
TX
Other
Enumeration date
07/17/2014
Last updated
09/16/2015
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