Individual
RYAN HAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5201 PAR DR APT 1526, DENTON, TX 76208-6760
(817) 917-9353
Mailing address
5201 PAR DR APT 1526, DENTON, TX 76208-6760
(817) 917-9353
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5613
TX
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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