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Individual

MR. DARIN SAMUEL POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA, ATC, LAT

Contact information

Practice address
2223 GALLERIA OAKS DRIVE, TEXARKANA, TX 75503-1601
(903) 614-4440
(903) 614-4444
Mailing address
209 LA GRANGE DR, WAKE VILLAGE, TX 75501-5767
(903) 223-4543

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2087190
TX
2255A2300X
Athletic Trainer
AT1538
TX

Other

Enumeration date
09/20/2006
Last updated
05/01/2017
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