Individual
EVA CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1323 KENTUCKY AVE, LANCASTER, TX 75134-1688
(214) 875-1725
Mailing address
1323 KENTUCKY AVE, LANCASTER, TX 75134
(214) 875-1725
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000030387
ATHLETIC TRAINER
TX
Enumeration date
11/16/2017
Last updated
11/16/2017
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