Individual
TYLER J FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4233 GRASSMERE LN, DALLAS, TX 75205-1040
(816) 665-9467
Mailing address
7015 WESTCHESTER DR, DALLAS, TX 75205-1061
(816) 665-9467
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
AT5312
TX
2255A2300X
Athletic Trainer
Primary
AT5312
TX
Other
Enumeration date
09/11/2013
Last updated
11/03/2016
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