Individual
WILLIAM CODY PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
101 N DAY MIAR RD, MANSFIELD, TX 76063-8106
(682) 314-0349
Mailing address
101 N DAY MIAR RD, MANSFIELD, TX 76063-8106
(682) 314-0439
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2453
TX
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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