Individual
BRANDON BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2503 6TH STREET, LUBBOCK, TX 79416
(806) 834-5405
Mailing address
2503 6TH STREET, LUBBOCK, TX 79416
(806) 834-5405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4645
TX
Other
Enumeration date
05/22/2014
Last updated
10/28/2016
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