Individual
ALAN BRANDON REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, PES
Contact information
Practice address
7500 DUTCH BRANCH RD, FORT WORTH, TX 76132-4110
(817) 321-0156
Mailing address
7500 DUTCH BRANCH RD, FORT WORTH, TX 76132-4110
(817) 321-0156
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060302197
TX
2255A2300X
Athletic Trainer
AT3183
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060302197
NATA-BOC
TX
01
—
AT3183
STATE OF TEXAS LICENSE
TX
Enumeration date
09/12/2009
Last updated
09/24/2013
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