Individual
DEION TERELL MCKITTRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
411 N WASHINGTON AVE STE 5000, DALLAS, TX 75246-1792
(214) 818-2534
Mailing address
2300 BREANNA WAY, LITTLE ELM, TX 75068-5828
(918) 409-8334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000051899
TX
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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