Individual
TROY WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
ASU STATION #10899, SAN ANGELO, TX 76909-1767
(325) 659-3500
Mailing address
ASU STATION #10899, SAN ANGELO, TX 76909-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3632
TX
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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