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Individual

DARYL FAULKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., ATC, LAT

Contact information

Practice address
2012 ROBERT DEDMAN DR, AUSTIN, TX 78712-1754
(901) 409-2814
Mailing address
8515 BRODIE LN APT 227, AUSTIN, TX 78745-8096
(901) 409-2814

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8280
TX

Other

Enumeration date
04/15/2016
Last updated
05/01/2024
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