Individual
MR. JORDAN DELEANY WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
318 FM 316 S, EUSTACE, TX 75124-2519
(903) 425-5231
Mailing address
165 COUNTY ROAD 3541, HAWKINS, TX 75765-4705
(682) 270-1897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7813
TX
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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