Organization
INTEGRATED ATHLETIC DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MCCALL (DIRECTOR)
(972) 242-6000
Entity
Organization
Contact information
Practice address
2800 N I35, CARROLLTON, TX 75007-4405
(972) 242-6000
(972) 446-9282
Mailing address
PO BOX 118733, CARROLLTON, TX 75011-8733
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1047785
TX
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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