Individual
MARYELLEN HOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 STADIUM DRIVE, PRAIRIE VIEW, TX 77446
(936) 261-3965
Mailing address
PO BOX 519 - MS 1500, PRAIRIE VIEW, TX 77446
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5720
TX
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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