Individual
MYLES THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3005 BINKLEY AVE, DALLAS, TX 75205-2353
(214) 768-5499
Mailing address
13500 NOEL RD APT 547, DALLAS, TX 75240-5270
(210) 563-8709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7869
TX
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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