Individual
DUSTAN EVAN THRIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
2200 CAMPBELL ST, COMMERCE, TX 75428-3319
(903) 366-6031
Mailing address
PO BOX 3011, COMMERCE, TX 75429-3011
(903) 366-6031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3434
TX
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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