Individual
ROSS ELLIOTT MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
4501 BRIDGE ST, FORT WORTH, TX 76103-1160
(817) 800-0026
Mailing address
4501 BRIDGE ST, FORT WORTH, TX 76103-1160
(817) 457-2920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3348
TX
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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