Individual
BRYAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
2730 STATE HIGHWAY 198, MALAKOFF, TX 75148-4808
(214) 422-2011
Mailing address
2730 STATE HIGHWAY 198, MALAKOFF, TX 75148-4808
(214) 422-2011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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