Organization
UNIVERSITY OF TEXAS DALLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM MONAGAN ATC (HEAD ATHLETIC TRAINER)
(972) 883-4066
Entity
Organization
Contact information
Practice address
800 W CAMPBELL RD, AB10, RICHARDSON, TX 75080-3021
(972) 883-4066
(972) 883-4496
Mailing address
800 W CAMPBELL RD, AB10, RICHARDSON, TX 75080-3021
(972) 883-4066
(972) 883-4496
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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