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Individual

BRADY ALEXANDER GREENLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MAT, LAT, ATC

Contact information

Practice address
ENNIS ISD, 2301 ENSIGN RD, ENNIS, TX 75119
(972) 872-3500
Mailing address
240 PARK PLACE BLVD APT 8204, WAXAHACHIE, TX 75165-3395
(432) 258-6145

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9869
TX

Other

Enumeration date
06/20/2025
Last updated
06/20/2025
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