Individual
PHILLIP ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
700 HORNCASTLE RD, EL PASO, TX 79907-4710
(915) 356-8786
Mailing address
700 HORNCASTLE RD, EL PASO, TX 79907-4710
(915) 356-8786
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2105
TX
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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