Individual
MR. BRIAN WILLIAM DENISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 DELOSS DODDS WAY, AUSTIN, TX 78712-1417
(254) 784-3905
Mailing address
5422 95TH ST, LUBBOCK, TX 79424-4412
(254) 784-3905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9516
TX
Other
Enumeration date
04/10/2022
Last updated
01/09/2025
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