Individual
CAMERON KYLE HIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3200 W 7TH AVE, CORSICANA, TX 75110-4818
(903) 875-7470
Mailing address
3200 W 7TH AVE, CORSICANA, TX 75110-4818
(903) 875-7470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7094
TX
Other
Enumeration date
08/19/2017
Last updated
08/21/2017
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