Individual
MR. JOSHUA TIMOTHY WILLIAM BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
2149 AVENUE H, WICHITA FALLS, TX 76309-3341
(940) 235-1084
Mailing address
2149 AVENUE H, WICHITA FALLS, TX 76309-3341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7779
TX
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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