Individual
MR. CORT DAVID GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12806 RAVENS CHASE LN, CYPRESS, TX 77429-3866
(832) 334-1312
Mailing address
12806 RAVENS CHASE LN, CYPRESS, TX 77429-3866
(832) 334-1312
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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