Individual
BROOKS RYAN PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 E ITASCA ST, LUBBOCK, TX 79403-3120
(806) 219-1400
Mailing address
2119 139TH ST, LUBBOCK, TX 79423-1298
(903) 721-5057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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