Individual
MR. KHALIL S COLTRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
150 BEAR RUN, WACO, TX 76710
(254) 710-3046
Mailing address
7333 BRENTWOOD CIR, WACO, TX 76712
(254) 710-3046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1687
TX
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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