Individual
MS. LA TAMERA D FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
301 N KILGORE ST, KILGORE, TX 75662-5825
(817) 320-3408
Mailing address
703 BAGWELL ST, KILGORE, TX 75662-2621
(817) 320-3408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4472
TX
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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