Individual
DONALD LYNN GLASS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
607 E FARRAR ST, GROESBECK, TX 76642-1519
(254) 729-2946
Mailing address
607 E FARRAR ST, GROESBECK, TX 76642-1519
(254) 729-2946
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0839
TX
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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