Individual
VANESSA MAE DOCKTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 SOUTH HOUSTON, BULLARD, TX 75757
(903) 892-2862
Mailing address
1426 S HOUSTON ST, BULLARD, TX 75757-5555
(903) 892-2862
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3322
TX
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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