Individual
MR. GREGORY ALLEN ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
909 N WASHINGTON AVE, DALLAS, TX 75246-1520
(214) 820-9300
Mailing address
1230 SETTLERS WAY, LEWISVILLE, TX 75067-7410
(214) 207-2963
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2741
TX
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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