Individual
COREY EATON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MED, ATC, LAT,CSCS
Contact information
Practice address
3700 ROSS AVENUE BOX 30, DALLAS, TX 75204
(214) 421-4535
(214) 421-4778
Mailing address
12345 ALFA ROMEO WAY, FRISCO, TX 75034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1470
TX
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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