Individual
MR. CASEY ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
900 NORTH O'CONNOR, IRVING, TX 75061
(972) 600-6481
Mailing address
2709 NEEDLES ST, EULESS, TX 76040-6386
(817) 845-5514
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5887
TX
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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