Individual
BAYLOR ALAN LEE MANIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 W WASHINGTON ST, STEPHENVILLE, TX 76401-4168
(254) 968-9000
Mailing address
670 S SECOND AVE APT 3104, STEPHENVILLE, TX 76401-5817
(817) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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