Individual
MR. JEFFREY ALLAN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
13340 HIGHLAND HILLS DR, ALEDO, TX 76008-2000
(682) 885-4405
Mailing address
10800 OWL CREEK DR, FORT WORTH, TX 76179-6827
(432) 557-7474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT0561
TX
2255A2300X
Athletic Trainer
Primary
ATO561
TX
Other
Enumeration date
06/26/2006
Last updated
03/08/2024
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